Indiana
Professional Licensing Agency
Samantha D. Probst
Radiology Provisional Permit
License number
XP500023
Date granted
05/25/2007
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Middlebury IN 46540
indianalicensing.org
ID 29207135
LAST UPDATED 2024-03-20 22:26:08 UTC
LAST UPDATED 2024-03-20 22:26:08 UTC
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