Indiana
Professional Licensing Agency
Stacey J. Dishman
Radiology Provisional Permit
License number
XP501667
Date granted
02/25/2009
Date expires
08/25/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Lynn IN 47355-9089
indianalicensing.org
ID 8493439
LAST UPDATED 2024-02-18 19:07:12 UTC
LAST UPDATED 2024-02-18 19:07:12 UTC
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