Indiana
Professional Licensing Agency
Shaquella D. Grigsby
Radiology Provisional Permit
License number
XP502616
Date granted
06/11/2010
Date expires
12/11/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 46201-2725
indianalicensing.org
ID 8492615
LAST UPDATED 2026-05-15 12:18:51 UTC
LAST UPDATED 2026-05-15 12:18:51 UTC
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