Indiana
Professional Licensing Agency
Melonie M. Stephenson
Radiology Provisional Permit
License number
XP501043
Date granted
03/27/2008
Date expires
09/27/2008
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Vevay IN 47043-0132
indianalicensing.org
ID 8495868
LAST UPDATED 2024-02-16 05:23:43 UTC
LAST UPDATED 2024-02-16 05:23:43 UTC
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