Indiana
Professional Licensing Agency
Melonie J. Mansfield
Radiology Provisional Permit
License number
XP501679
Date granted
03/17/2009
Date expires
09/17/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 46222-3977
indianalicensing.org
ID 8492527
LAST UPDATED 2024-03-02 09:55:03 UTC
LAST UPDATED 2024-03-02 09:55:03 UTC
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