Indiana
Professional Licensing Agency
Sephanie L. Wootton
Radiology Provisional Permit
License number
XP502913
Date granted
10/18/2010
Date expires
04/18/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Mishawaka IN 46544-2667
indianalicensing.org
ID 8493861
LAST UPDATED 2024-02-23 20:32:00 UTC
LAST UPDATED 2024-02-23 20:32:00 UTC
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