Indiana
Professional Licensing Agency
Sarah A. Phipps
Radiology Provisional Permit
License number
XP504343
Date granted
10/10/2012
Date expires
04/10/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
La Fontaine IN 46940
indianalicensing.org
ID 8493055
LAST UPDATED 2026-04-13 14:34:15 UTC
LAST UPDATED 2026-04-13 14:34:15 UTC
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