Indiana
Professional Licensing Agency
Pamela J. Lane
Radiology Provisional Permit
License number
XP501416
Date granted
10/01/2008
Date expires
04/01/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
North Liberty IN 46554-9434
indianalicensing.org
ID 8494514
LAST UPDATED 2024-05-26 20:15:42 UTC
LAST UPDATED 2024-05-26 20:15:42 UTC
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