Indiana
Professional Licensing Agency
Susan A. Harbridge
Radiology Provisional Permit
License number
XP501973
Date granted
09/09/2009
Date expires
03/09/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Zionsville IN 46077-1231
indianalicensing.org
ID 8496182
LAST UPDATED 2024-03-26 11:46:24 UTC
LAST UPDATED 2024-03-26 11:46:24 UTC
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