Indiana
Professional Licensing Agency
Molly S. Beaty
Radiology Provisional Permit
License number
XP500954
Date granted
02/07/2008
Date expires
08/07/2008
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Knightstown IN 46148-9718
indianalicensing.org
ID 8492954
LAST UPDATED 2024-02-28 18:39:32 UTC
LAST UPDATED 2024-02-28 18:39:32 UTC
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