Indiana
Professional Licensing Agency
Stacey D. Hale
Radiology Provisional Permit
License number
XP502569
Date granted
05/21/2010
Date expires
11/21/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Tipton IN 46072-2041
indianalicensing.org
ID 8495694
LAST UPDATED 2024-04-20 21:55:42 UTC
LAST UPDATED 2024-04-20 21:55:42 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.