Indiana
Professional Licensing Agency
Tierra Washington
Radiology Provisional Permit
License number
XP505285
Date granted
02/06/2014
Date expires
08/06/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 46260
indianalicensing.org
ID 29206853
LAST UPDATED 2024-02-09 08:59:54 UTC
LAST UPDATED 2024-02-09 08:59:54 UTC
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