Indiana
Professional Licensing Agency
Mary C. Sixtos
Radiology Provisional Permit
License number
XP502448
Date granted
03/17/2010
Date expires
09/17/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Dyer IN 46311-7701
indianalicensing.org
ID 8490247
LAST UPDATED 2024-05-13 18:57:01 UTC
LAST UPDATED 2024-05-13 18:57:01 UTC
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