Indiana
Professional Licensing Agency
Mary M. Harman
Radiology Provisional Permit
License number
XP503165
Date granted
02/15/2011
Date expires
08/15/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Bristol IN 46507-8521
indianalicensing.org
ID 8489238
LAST UPDATED 2026-04-25 21:01:07 UTC
LAST UPDATED 2026-04-25 21:01:07 UTC
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