Indiana
Professional Licensing Agency
Tara L. Caldwell
Radiology Provisional Permit
License number
XP503347
Date granted
04/27/2011
Date expires
10/27/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Elkhart IN 46516-1243
indianalicensing.org
ID 8490485
LAST UPDATED 2024-04-10 19:28:29 UTC
LAST UPDATED 2024-04-10 19:28:29 UTC
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