Indiana
Professional Licensing Agency
Samantha S. Berry
Radiology Provisional Permit
License number
XP503596
Date granted
09/09/2011
Date expires
03/09/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
New Albany IN 47150
indianalicensing.org
ID 8489179
LAST UPDATED 2024-03-17 15:23:51 UTC
LAST UPDATED 2024-03-17 15:23:51 UTC
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