Indiana
Professional Licensing Agency
Stephanie C. Crook
Radiology Provisional Permit
License number
XP501049
Date granted
03/28/2008
Date expires
09/28/2008
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Mishawaka IN 46545-5612
indianalicensing.org
ID 8493867
LAST UPDATED 2024-03-26 13:06:01 UTC
LAST UPDATED 2024-03-26 13:06:01 UTC
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