Indiana
Professional Licensing Agency
Nikki D. Lientz
Radiology Provisional Permit
License number
XP506039
Date granted
11/19/2014
Date expires
05/19/2015
Class
Radiology Provisional Permit
Status
Active
Address
Terre Haute IN 47805
indianalicensing.org
ID 29207700
LAST UPDATED 2024-03-21 02:47:50 UTC
LAST UPDATED 2024-03-21 02:47:50 UTC
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