Indiana
Professional Licensing Agency
Michelle L. Dudley
Radiology Provisional Permit
License number
XP503964
Date granted
03/23/2012
Date expires
09/23/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Muncie IN 47302
indianalicensing.org
ID 8494061
LAST UPDATED 2024-03-24 08:34:12 UTC
LAST UPDATED 2024-03-24 08:34:12 UTC
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