Indiana
Professional Licensing Agency
Tamara K. Pullen
Radiology Provisional Permit
License number
XP500780
Date granted
08/20/2007
Date expires
05/08/2008
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Greenwood IN 46143-8529
indianalicensing.org
ID 8491624
LAST UPDATED 2024-03-29 08:15:45 UTC
LAST UPDATED 2024-03-29 08:15:45 UTC
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