Indiana
Professional Licensing Agency
Sheryl L. Baker
Radiology Provisional Permit
License number
XP500040
Date granted
06/15/2007
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fort Wayne IN 468181829
indianalicensing.org
ID 8491042
LAST UPDATED 2024-03-02 07:34:55 UTC
LAST UPDATED 2024-03-02 07:34:55 UTC
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