Indiana
Professional Licensing Agency
Stephanie M. Duffala
Radiology Provisional Permit
License number
XP504404
Date granted
11/16/2012
Date expires
05/16/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Hammond IN 46324
indianalicensing.org
ID 8491853
LAST UPDATED 2024-05-08 09:23:10 UTC
LAST UPDATED 2024-05-08 09:23:10 UTC
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