Indiana
Professional Licensing Agency
Stacey M. Adams
Radiology Provisional Permit
License number
XP503987
Date granted
04/09/2012
Date expires
10/09/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
North Vernon IN 47265
indianalicensing.org
ID 8494541
LAST UPDATED 2024-03-20 13:58:54 UTC
LAST UPDATED 2024-03-20 13:58:54 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.