Indiana
Professional Licensing Agency
Michelle D. Russell
Radiology Provisional Permit
License number
XP500493
Date granted
12/15/2006
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Linton IN 474410000
indianalicensing.org
ID 8493362
LAST UPDATED 2024-04-11 02:22:11 UTC
LAST UPDATED 2024-04-11 02:22:11 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.