Indiana
Professional Licensing Agency
Rebecca L. Wagers
Radiology Provisional Permit
License number
XP504053
Date granted
04/25/2012
Date expires
10/25/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Salem IN 47167
indianalicensing.org
ID 8495142
LAST UPDATED 2026-05-16 20:00:46 UTC
LAST UPDATED 2026-05-16 20:00:46 UTC
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