Indiana
Professional Licensing Agency
Misty A. Fields
Radiology Provisional Permit
License number
XP501345
Date granted
09/09/2008
Date expires
03/09/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Terre Haute IN 47802
indianalicensing.org
ID 8495676
LAST UPDATED 2024-02-24 23:33:11 UTC
LAST UPDATED 2024-02-24 23:33:11 UTC
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