Indiana
Professional Licensing Agency
Sophia Roy
Radiology Provisional Permit
License number
XP505389
Date granted
03/07/2014
Date expires
09/07/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fort Wayne IN 46818
indianalicensing.org
ID 29206455
LAST UPDATED 2024-03-13 21:31:34 UTC
LAST UPDATED 2024-03-13 21:31:34 UTC
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