Indiana
Professional Licensing Agency
Tara D. Bailey
Radiology Provisional Permit
License number
XP505862
Date granted
09/24/2014
Date expires
03/24/2015
Class
Radiology Provisional Permit
Status
Active
Address
Goshen IN 46526
indianalicensing.org
ID 29206543
LAST UPDATED 2024-02-24 17:02:51 UTC
LAST UPDATED 2024-02-24 17:02:51 UTC
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