Indiana
Professional Licensing Agency
Precious M. Kelso
Radiology Provisional Permit
License number
XP504689
Date granted
04/19/2013
Date expires
10/19/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fort Wayne IN 46806
indianalicensing.org
ID 8491019
LAST UPDATED 2024-02-26 23:16:11 UTC
LAST UPDATED 2024-02-26 23:16:11 UTC
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