Indiana
Professional Licensing Agency
Patrice E. Naab
Radiology Provisional Permit
License number
XP500721
Date granted
07/16/2007
Date expires
01/16/2008
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fishers IN 46037-9156
indianalicensing.org
ID 8490784
LAST UPDATED 2024-03-14 19:52:21 UTC
LAST UPDATED 2024-03-14 19:52:21 UTC
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