Indiana
Professional Licensing Agency
Mary K. Doherty
Radiology Provisional Permit
License number
XP505359
Date granted
02/28/2014
Date expires
08/28/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Newburgh IN 47630
indianalicensing.org
ID 29207326
LAST UPDATED 2024-05-10 20:57:26 UTC
LAST UPDATED 2024-05-10 20:57:26 UTC
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