Indiana
Professional Licensing Agency
Randi L. Isaacs
Radiology Provisional Permit
License number
XP500341
Date granted
10/06/2006
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Versailles IN 47042-0733
indianalicensing.org
ID 8495870
LAST UPDATED 2024-03-25 00:06:48 UTC
LAST UPDATED 2024-03-25 00:06:48 UTC
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