Indiana
Professional Licensing Agency
Melody A. Baker
Radiology Provisional Permit
License number
XP501563
Date granted
01/20/2009
Date expires
07/20/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Pendleton IN 46064-1168
indianalicensing.org
ID 8494706
LAST UPDATED 2026-06-01 11:40:38 UTC
LAST UPDATED 2026-06-01 11:40:38 UTC
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