Indiana
Professional Licensing Agency
Shaina N. Richardson
Radiology Provisional Permit
License number
XP502224
Date granted
12/08/2009
Date expires
06/08/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Hammond IN 46324-3042
indianalicensing.org
ID 8491839
LAST UPDATED 2024-03-28 03:26:14 UTC
LAST UPDATED 2024-03-28 03:26:14 UTC
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