Indiana
Professional Licensing Agency
Melissa A. Tucek
Radiology Provisional Permit
License number
XP503618
Date granted
09/19/2011
Date expires
03/19/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Pendleton IN 46064
indianalicensing.org
ID 8494702
LAST UPDATED 2024-04-05 03:30:12 UTC
LAST UPDATED 2024-04-05 03:30:12 UTC
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