Indiana
Professional Licensing Agency
Michele L. Hanifen
Radiology Provisional Permit
License number
XP505128
Date granted
12/16/2013
Date expires
06/16/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Floyds Knobs IN 47119
indianalicensing.org
ID 29206397
LAST UPDATED 2026-04-13 07:19:00 UTC
LAST UPDATED 2026-04-13 07:19:00 UTC
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