Indiana
Professional Licensing Agency
Shayla N. Gibbs
Radiology Provisional Permit
License number
XP505459
Date granted
04/04/2014
Date expires
10/04/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Redkey IN 47373
indianalicensing.org
ID 29207481
LAST UPDATED 2024-03-06 23:17:09 UTC
LAST UPDATED 2024-03-06 23:17:09 UTC
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