Indiana
Professional Licensing Agency
Samuel B. Lingo
Radiology Provisional Permit
License number
XP503963
Date granted
03/23/2012
Date expires
09/23/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Evansville IN 47725
indianalicensing.org
ID 8490640
LAST UPDATED 2026-05-11 19:23:06 UTC
LAST UPDATED 2026-05-11 19:23:06 UTC
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