Indiana
Professional Licensing Agency
Taylor N. Delong
Radiology Provisional Permit
License number
XP504979
Date granted
09/19/2013
Date expires
03/19/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Anderson IN 46012
indianalicensing.org
ID 8488812
LAST UPDATED 2024-04-23 11:20:52 UTC
LAST UPDATED 2024-04-23 11:20:52 UTC
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