Indiana
Professional Licensing Agency
Nicholle C. Heck
Radiology Provisional Permit
License number
XP500543
Date granted
02/18/2005
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fort Wayne IN 468083021
indianalicensing.org
ID 8491010
LAST UPDATED 2024-03-22 15:45:27 UTC
LAST UPDATED 2024-03-22 15:45:27 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.