Indiana
Professional Licensing Agency
Shauna Mae Ulerick
Radiology Provisional Permit
License number
XP500545
Date granted
02/18/2005
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Jonesboro IN 469381211
indianalicensing.org
ID 8492907
LAST UPDATED 2024-04-28 12:59:18 UTC
LAST UPDATED 2024-04-28 12:59:18 UTC
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