Indiana
Professional Licensing Agency
Misty D. Davis
Radiology Provisional Permit
License number
XP503832
Date granted
01/20/2012
Date expires
07/20/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Nabb IN 47147
indianalicensing.org
ID 8494099
LAST UPDATED 2024-02-17 06:54:18 UTC
LAST UPDATED 2024-02-17 06:54:18 UTC
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