Indiana
Professional Licensing Agency
Susan L. Smith
Radiology Provisional Permit
License number
XP503157
Date granted
02/11/2011
Date expires
08/11/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fort Wayne IN 46804-5928
indianalicensing.org
ID 8491055
LAST UPDATED 2024-04-05 05:47:59 UTC
LAST UPDATED 2024-04-05 05:47:59 UTC
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