Indiana
Professional Licensing Agency
Susan M. Mays
Radiology Provisional Permit
License number
XP504124
Date granted
06/21/2012
Date expires
12/21/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Gary IN 46402
indianalicensing.org
ID 8491273
LAST UPDATED 2026-03-16 17:50:11 UTC
LAST UPDATED 2026-03-16 17:50:11 UTC
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