Indiana
Professional Licensing Agency
Tamar M. LaSpina
Radiology Provisional Permit
License number
XP503556
Date granted
08/23/2011
Date expires
02/23/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fort Wayne IN 46825-5755
indianalicensing.org
ID 8491064
LAST UPDATED 2024-04-13 08:16:36 UTC
LAST UPDATED 2024-04-13 08:16:36 UTC
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