Indiana
Professional Licensing Agency
Tara A. Millikan
Radiology Provisional Permit
License number
XP501936
Date granted
08/12/2009
Date expires
02/12/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Rockville IN 47872-0358
indianalicensing.org
ID 8495025
LAST UPDATED 2024-03-12 03:13:35 UTC
LAST UPDATED 2024-03-12 03:13:35 UTC
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