Indiana
Professional Licensing Agency
Rose Mary Kuckson
Radiology Provisional Permit
License number
XP502707
Date granted
08/03/2010
Date expires
02/03/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Crown Point IN 46307-8947
indianalicensing.org
ID 8490062
LAST UPDATED 2024-03-29 19:41:40 UTC
LAST UPDATED 2024-03-29 19:41:40 UTC
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