Indiana
Professional Licensing Agency
Mary E Obenchain
Radiology Provisional Permit
License number
XP505174
Date granted
01/15/2014
Date expires
07/15/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Kokomo IN 46902
indianalicensing.org
ID 29206947
LAST UPDATED 2024-04-09 18:47:31 UTC
LAST UPDATED 2024-04-09 18:47:31 UTC
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