Indiana
Professional Licensing Agency
Paula So
Radiology Provisional Permit
License number
XP500417
Date granted
04/25/2007
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Goshen IN 465285753
indianalicensing.org
ID 8491397
LAST UPDATED 2024-02-08 23:18:37 UTC
LAST UPDATED 2024-02-08 23:18:37 UTC
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