Indiana
Professional Licensing Agency
Michelle S. Smith
Radiology Provisional Permit
License number
XP500209
Date granted
11/26/2003
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Carmel IN 460325343
indianalicensing.org
ID 8489458
LAST UPDATED 2024-03-04 22:58:21 UTC
LAST UPDATED 2024-03-04 22:58:21 UTC
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