Indiana
Professional Licensing Agency
Santana L. Mullins
Radiology Provisional Permit
License number
XP505113
Date granted
12/03/2013
Date expires
06/03/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Bristol IN 46507
indianalicensing.org
ID 29206026
LAST UPDATED 2024-02-29 11:17:49 UTC
LAST UPDATED 2024-02-29 11:17:49 UTC
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