Indiana
Professional Licensing Agency
Takea L. Wilson
Radiology Provisional Permit
License number
XP502944
Date granted
10/29/2010
Date expires
04/29/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
South Bend IN 46635-1550
indianalicensing.org
ID 8495496
LAST UPDATED 2024-04-29 01:43:09 UTC
LAST UPDATED 2024-04-29 01:43:09 UTC
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