Indiana
Professional Licensing Agency
Michelle L. Durbin
Radiology Provisional Permit
License number
XP504860
Date granted
07/25/2013
Date expires
01/25/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Kokomo IN 46902
indianalicensing.org
ID 8493029
LAST UPDATED 2024-02-03 16:12:09 UTC
LAST UPDATED 2024-02-03 16:12:09 UTC
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