Indiana
Professional Licensing Agency
Tia R. Edwards
Radiology Provisional Permit
License number
XP504174
Date granted
08/10/2012
Date expires
02/10/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 46231
indianalicensing.org
ID 8492690
LAST UPDATED 2024-04-24 02:11:56 UTC
LAST UPDATED 2024-04-24 02:11:56 UTC
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