Indiana
Professional Licensing Agency
Olivia M Clark
Radiology Provisional Permit
License number
XP505683
Date granted
07/22/2014
Date expires
01/22/2015
Class
Radiology Provisional Permit
Status
Active
Address
Jeffersonville IN 47130
indianalicensing.org
ID 29206892
LAST UPDATED 2026-04-08 08:13:30 UTC
LAST UPDATED 2026-04-08 08:13:30 UTC
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