Indiana
Professional Licensing Agency
Peggy A. Konrad
Radiology Provisional Permit
License number
XP502533
Date granted
05/05/2010
Date expires
11/05/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Angola IN 46703-8250
indianalicensing.org
ID 8488824
LAST UPDATED 2024-03-14 15:51:16 UTC
LAST UPDATED 2024-03-14 15:51:16 UTC
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