Indiana
Professional Licensing Agency
Taylor M. Householder
Radiology Provisional Permit
License number
XP506017
Date granted
11/12/2014
Date expires
05/12/2015
Class
Radiology Provisional Permit
Status
Active
Address
Laotto IN 46763
indianalicensing.org
ID 29206996
LAST UPDATED 2026-04-21 15:56:07 UTC
LAST UPDATED 2026-04-21 15:56:07 UTC
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