Indiana
Professional Licensing Agency
Stacey M. Sargent
Radiology Provisional Permit
License number
XP503531
Date granted
08/08/2011
Date expires
02/08/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Carmel IN 46032-2088
indianalicensing.org
ID 8489466
LAST UPDATED 2024-04-05 15:18:12 UTC
LAST UPDATED 2024-04-05 15:18:12 UTC
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