Indiana
Professional Licensing Agency
Tarah L. Derbyshire
Radiology Provisional Permit
License number
XP502576
Date granted
05/25/2010
Date expires
11/25/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 46226-1905
indianalicensing.org
ID 8492667
LAST UPDATED 2026-04-19 15:05:54 UTC
LAST UPDATED 2026-04-19 15:05:54 UTC
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