Indiana
Professional Licensing Agency
Michelle L. Goodman
Radiology Provisional Permit
License number
XP501630
Date granted
02/06/2009
Date expires
08/06/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Osceola IN 46561-8891
indianalicensing.org
ID 8494609
LAST UPDATED 2024-04-23 15:16:31 UTC
LAST UPDATED 2024-04-23 15:16:31 UTC
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