Indiana
Professional Licensing Agency
Shaila A. Lisk
Radiology Provisional Permit
License number
XP500879
Date granted
11/27/2007
Date expires
05/27/2008
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Greenfield IN 46140-8389
indianalicensing.org
ID 8491519
LAST UPDATED 2024-04-22 00:06:18 UTC
LAST UPDATED 2024-04-22 00:06:18 UTC
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