Indiana
Professional Licensing Agency
Susan A. Lees
Radiology Provisional Permit
License number
XP500549
Date granted
03/10/2005
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fort Wayne IN 468169779
indianalicensing.org
ID 8491040
LAST UPDATED 2024-03-02 12:08:49 UTC
LAST UPDATED 2024-03-02 12:08:49 UTC
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