Indiana
Professional Licensing Agency
Samantha L. Gibson
Radiology Provisional Permit
License number
XP504103
Date granted
05/30/2012
Date expires
11/30/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Richmond IN 47374
indianalicensing.org
ID 8494985
LAST UPDATED 2024-02-02 13:46:15 UTC
LAST UPDATED 2024-02-02 13:46:15 UTC
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