Indiana
Professional Licensing Agency
Terri L. Stidd
Radiology Provisional Permit
License number
XP501383
Date granted
09/18/2008
Date expires
03/18/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Rensselaer IN 47978-2275
indianalicensing.org
ID 8494926
LAST UPDATED 2026-05-04 22:43:49 UTC
LAST UPDATED 2026-05-04 22:43:49 UTC
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