Indiana
Professional Licensing Agency
Tabitha L. Banet
Radiology Provisional Permit
License number
XP501146
Date granted
04/24/2008
Date expires
10/24/2008
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Memphis IN 47143-9614
indianalicensing.org
ID 8493610
LAST UPDATED 2024-02-29 05:30:41 UTC
LAST UPDATED 2024-02-29 05:30:41 UTC
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