Indiana
Professional Licensing Agency
Michele Renee Phillips
Radiology Provisional Permit
License number
XP501210
Date granted
05/28/2008
Date expires
11/28/2008
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Gary IN 46404-1682
indianalicensing.org
ID 8491252
LAST UPDATED 2024-02-22 08:29:19 UTC
LAST UPDATED 2024-02-22 08:29:19 UTC
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