Indiana
Professional Licensing Agency
Tara L. Hartman
Radiology Provisional Permit
License number
XP504627
Date granted
03/21/2013
Date expires
09/21/2013
Class
Radiology Provisional Permit
Status
Superceded
Address
Elkhart IN 46514
indianalicensing.org
ID 8490487
LAST UPDATED 2024-04-16 18:15:59 UTC
LAST UPDATED 2024-04-16 18:15:59 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.