Indiana
Professional Licensing Agency
Shawn L. Temple
Radiology Provisional Permit
License number
XP504876
Date granted
08/05/2013
Date expires
02/05/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Lanesville IN 47136
indianalicensing.org
ID 8493196
LAST UPDATED 2026-05-03 08:50:47 UTC
LAST UPDATED 2026-05-03 08:50:47 UTC
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