Indiana
Professional Licensing Agency
Randi D. Haley
Radiology Provisional Permit
License number
XP502634
Date granted
06/24/2010
Date expires
12/24/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Pendleton IN 46064-9584
indianalicensing.org
ID 8494708
LAST UPDATED 2024-03-14 07:32:54 UTC
LAST UPDATED 2024-03-14 07:32:54 UTC
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