Indiana
Professional Licensing Agency
Rose C. Henry
Radiology Provisional Permit
License number
XP502692
Date granted
07/27/2010
Date expires
01/27/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
South Bend IN 46637-2036
indianalicensing.org
ID 8495477
LAST UPDATED 2024-02-16 05:23:38 UTC
LAST UPDATED 2024-02-16 05:23:38 UTC
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