Indiana
Professional Licensing Agency
Taylor N. Melenchuk
Radiology Provisional Permit
License number
XP504289
Date granted
09/26/2012
Date expires
03/26/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Bedford IN 47421
indianalicensing.org
ID 8489003
LAST UPDATED 2024-03-04 05:40:30 UTC
LAST UPDATED 2024-03-04 05:40:30 UTC
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