Indiana
Professional Licensing Agency
Shelly S. Kincaid
Radiology Provisional Permit
License number
XP501605
Date granted
01/30/2009
Date expires
07/30/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Lewisville IN 47352-9730
indianalicensing.org
ID 8493291
LAST UPDATED 2024-04-05 11:09:37 UTC
LAST UPDATED 2024-04-05 11:09:37 UTC
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