Indiana
Professional Licensing Agency
Tonya G. Holm
Radiology Provisional Permit
License number
XP502415
Date granted
03/09/2010
Date expires
09/09/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Scottsburg IN 47170-5907
indianalicensing.org
ID 8495243
LAST UPDATED 2024-03-18 17:32:57 UTC
LAST UPDATED 2024-03-18 17:32:57 UTC
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