Indiana
Professional Licensing Agency
Theresa C. Fox
Radiology Provisional Permit
License number
XP503062
Date granted
12/28/2010
Date expires
06/28/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Griffith IN 46319-1947
indianalicensing.org
ID 8491695
LAST UPDATED 2024-04-25 14:02:31 UTC
LAST UPDATED 2024-04-25 14:02:31 UTC
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