Indiana
Professional Licensing Agency
Stephanie L. Prodan
Radiology Provisional Permit
License number
XP500797
Date granted
09/13/2007
Date expires
03/13/2008
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Greenwood IN 46142-1103
indianalicensing.org
ID 8491617
LAST UPDATED 2024-04-23 10:29:49 UTC
LAST UPDATED 2024-04-23 10:29:49 UTC
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