Indiana
Professional Licensing Agency
Tatiana V. Havrila
Radiology Provisional Permit
License number
XP503093
Date granted
01/21/2011
Date expires
07/21/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Portage IN 46368-4340
indianalicensing.org
ID 8494883
LAST UPDATED 2024-02-20 10:12:37 UTC
LAST UPDATED 2024-02-20 10:12:37 UTC
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