Indiana
Professional Licensing Agency
Tamina R Payne
Radiology Provisional Permit
License number
XP505548
Date granted
05/13/2014
Date expires
11/13/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 46228
indianalicensing.org
ID 29206847
LAST UPDATED 2024-02-07 02:37:21 UTC
LAST UPDATED 2024-02-07 02:37:21 UTC
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