Indiana
Professional Licensing Agency
Paula L. Stephenson
Radiology Provisional Permit
License number
XP504224
Date granted
08/30/2012
Date expires
02/28/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Corydon IN 47112
indianalicensing.org
ID 8489888
LAST UPDATED 2024-02-21 08:00:56 UTC
LAST UPDATED 2024-02-21 08:00:56 UTC
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