Indiana
Professional Licensing Agency
Tiffany L. Chapman
Radiology Provisional Permit
License number
XP505140
Date granted
12/31/2013
Date expires
06/30/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Henryville IN 47126
indianalicensing.org
ID 29206671
LAST UPDATED 2024-03-20 21:36:11 UTC
LAST UPDATED 2024-03-20 21:36:11 UTC
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