Indiana
Professional Licensing Agency
Theresa Y. Edington
Radiology Provisional Permit
License number
XP501235
Date granted
06/23/2008
Date expires
12/23/2008
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Freetown IN 47235-9789
indianalicensing.org
ID 8491163
LAST UPDATED 2024-05-04 03:36:57 UTC
LAST UPDATED 2024-05-04 03:36:57 UTC
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