Indiana
Professional Licensing Agency
Shara M. Lodge
Radiology Provisional Permit
License number
XP500427
Date granted
01/27/1999
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
New Castle IN 47362-1721
indianalicensing.org
ID 8494285
LAST UPDATED 2024-02-18 16:05:38 UTC
LAST UPDATED 2024-02-18 16:05:38 UTC
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