Indiana
Professional Licensing Agency
Melissa J. House
Radiology Provisional Permit
License number
XP505065
Date granted
10/18/2013
Date expires
04/18/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Depauw IN 47115
indianalicensing.org
ID 12405972
LAST UPDATED 2024-04-15 14:47:25 UTC
LAST UPDATED 2024-04-15 14:47:25 UTC
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