Indiana
Professional Licensing Agency
Teri L. Smith
Radiology Provisional Permit
License number
XP502368
Date granted
02/24/2010
Date expires
08/24/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fort Wayne IN 46809-2311
indianalicensing.org
ID 8491062
LAST UPDATED 2024-03-30 16:06:26 UTC
LAST UPDATED 2024-03-30 16:06:26 UTC
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