Indiana
Professional Licensing Agency
Shakeela J. Beasley
Radiology Provisional Permit
License number
XP500911
Date granted
12/26/2007
Date expires
02/27/2014
Class
Radiology Provisional Permit
Status
Superceded
Address
Hammond IN 46323
indianalicensing.org
ID 8491264
LAST UPDATED 2024-04-03 03:57:52 UTC
LAST UPDATED 2024-04-03 03:57:52 UTC
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