Indiana
Professional Licensing Agency
Samantha M. Grady
Radiology Provisional Permit
License number
XP506040
Date granted
11/19/2014
Date expires
05/19/2015
Class
Radiology Provisional Permit
Status
Active
Address
Logansport IN 46947
indianalicensing.org
ID 29207033
LAST UPDATED 2024-02-24 09:22:08 UTC
LAST UPDATED 2024-02-24 09:22:08 UTC
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