Indiana
Professional Licensing Agency
Susan M. Genge
Radiology Provisional Permit
License number
XP500650
Date granted
01/26/2006
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Michigan City IN 463600000
indianalicensing.org
ID 8493726
LAST UPDATED 2026-06-22 03:57:30 UTC
LAST UPDATED 2026-06-22 03:57:30 UTC
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