Indiana
Professional Licensing Agency
Nikki L. Henderson
Radiology Provisional Permit
License number
XP503764
Date granted
12/05/2011
Date expires
06/05/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Valparaiso IN 46383-8378
indianalicensing.org
ID 8495829
LAST UPDATED 2024-04-21 07:21:46 UTC
LAST UPDATED 2024-04-21 07:21:46 UTC
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