Indiana
Professional Licensing Agency
Tenisha S. Johnson
Radiology Provisional Permit
License number
XP503591
Date granted
09/09/2011
Date expires
03/09/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 46229-2781
indianalicensing.org
ID 8492670
LAST UPDATED 2024-02-16 19:43:24 UTC
LAST UPDATED 2024-02-16 19:43:24 UTC
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