Indiana
Professional Licensing Agency
Staci R. Slaven
Radiology Provisional Permit
License number
XP502379
Date granted
02/25/2010
Date expires
08/25/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Shelbyville IN 46176-2247
indianalicensing.org
ID 8495316
LAST UPDATED 2024-03-12 01:27:06 UTC
LAST UPDATED 2024-03-12 01:27:06 UTC
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