Indiana
Professional Licensing Agency
Shawn K. Holstein
Radiology Provisional Permit
License number
XP503759
Date granted
12/05/2011
Date expires
06/05/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Hammond IN 46323-1738
indianalicensing.org
ID 8491833
LAST UPDATED 2024-02-22 13:14:29 UTC
LAST UPDATED 2024-02-22 13:14:29 UTC
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