Indiana
Professional Licensing Agency
Nichole Johnson
Radiology Provisional Permit
License number
XP503025
Date granted
11/30/2010
Date expires
05/30/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Merrillville IN 46410-8142
indianalicensing.org
ID 8493672
LAST UPDATED 2024-02-10 06:36:15 UTC
LAST UPDATED 2024-02-10 06:36:15 UTC
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