Indiana
Professional Licensing Agency
Michele A. Loge
Radiology Provisional Permit
License number
XP503310
Date granted
04/11/2011
Date expires
10/11/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fort Wayne IN 46815-7304
indianalicensing.org
ID 8491003
LAST UPDATED 2024-04-12 06:28:17 UTC
LAST UPDATED 2024-04-12 06:28:17 UTC
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