Indiana
Professional Licensing Agency
Shana J. Lanham
Radiology Provisional Permit
License number
XP505514
Date granted
04/25/2014
Date expires
10/25/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Salem IN 47167
indianalicensing.org
ID 29207553
LAST UPDATED 2024-02-25 11:50:09 UTC
LAST UPDATED 2024-02-25 11:50:09 UTC
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