Indiana
Professional Licensing Agency
Stephanie Miller
Radiology Provisional Permit
License number
XP500651
Date granted
02/01/2005
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Clarksville IN 471290000
indianalicensing.org
ID 8489661
LAST UPDATED 2024-03-17 09:34:18 UTC
LAST UPDATED 2024-03-17 09:34:18 UTC
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