Indiana
Professional Licensing Agency
Theresa G. Hayes
Radiology Provisional Permit
License number
XP500774
Date granted
08/15/2007
Date expires
04/28/2008
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Avon IN 46123-9028
indianalicensing.org
ID 8488934
LAST UPDATED 2024-03-08 04:48:19 UTC
LAST UPDATED 2024-03-08 04:48:19 UTC
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