Indiana
Professional Licensing Agency
Tiffany L. Hofer
Radiology Provisional Permit
License number
XP500553
Date granted
03/24/2005
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Lebanon IN 460520177
indianalicensing.org
ID 8493278
LAST UPDATED 2024-03-05 13:49:23 UTC
LAST UPDATED 2024-03-05 13:49:23 UTC
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