Indiana
Professional Licensing Agency
Nicole Prescaro
Radiology Provisional Permit
License number
XP505655
Date granted
07/07/2014
Date expires
01/07/2015
Class
Radiology Provisional Permit
Status
Active
Address
Hammond IN 46323
indianalicensing.org
ID 29206644
LAST UPDATED 2024-04-02 14:36:06 UTC
LAST UPDATED 2024-04-02 14:36:06 UTC
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