Indiana
Professional Licensing Agency
Nicole C. Halfmann
Radiology Provisional Permit
License number
XP505400
Date granted
03/13/2014
Date expires
09/13/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Portage IN 46368
indianalicensing.org
ID 29207456
LAST UPDATED 2024-04-03 23:27:37 UTC
LAST UPDATED 2024-04-03 23:27:37 UTC
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