Indiana
Professional Licensing Agency
Sara Prugh
Radiology Provisional Permit
License number
XP500916
Date granted
01/04/2008
Date expires
04/04/2008
Class
Radiology Provisional Permit
Status
Superceded
Address
Indianapolis IN 46226-6450
indianalicensing.org
ID 8492599
LAST UPDATED 2026-06-22 03:43:54 UTC
LAST UPDATED 2026-06-22 03:43:54 UTC
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