Indiana
Professional Licensing Agency
Shelby L. Smith
Radiology Provisional Permit
License number
XP504603
Date granted
03/13/2013
Date expires
09/13/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Shelbyville IN 46176
indianalicensing.org
ID 8495298
LAST UPDATED 2024-04-08 09:50:53 UTC
LAST UPDATED 2024-04-08 09:50:53 UTC
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