Indiana
Professional Licensing Agency
Michelle L. Johnson
Radiology Provisional Permit
License number
XP500623
Date granted
12/16/2005
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Bloomington IN 47401
indianalicensing.org
ID 8489121
LAST UPDATED 2024-03-13 10:50:19 UTC
LAST UPDATED 2024-03-13 10:50:19 UTC
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