Indiana
Professional Licensing Agency
Paige L. Church
Radiology Provisional Permit
License number
XP504442
Date granted
12/27/2012
Date expires
06/27/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Lowell IN 46356
indianalicensing.org
ID 8493422
LAST UPDATED 2024-03-10 04:55:59 UTC
LAST UPDATED 2024-03-10 04:55:59 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.