Indiana
Professional Licensing Agency
Nicole M. Dausch
Radiology Provisional Permit
License number
XP500243
Date granted
06/09/2006
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 462272835
indianalicensing.org
ID 8492556
LAST UPDATED 2026-06-13 19:13:25 UTC
LAST UPDATED 2026-06-13 19:13:25 UTC
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