Indiana
Professional Licensing Agency
Susan D. McCormick
Radiology Provisional Permit
License number
XP502257
Date granted
01/13/2010
Date expires
07/13/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Austin IN 47102-1969
indianalicensing.org
ID 8488890
LAST UPDATED 2026-05-29 22:32:05 UTC
LAST UPDATED 2026-05-29 22:32:05 UTC
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