Indiana
Professional Licensing Agency
Tonya J. Lakes
Radiology Provisional Permit
License number
XP501862
Date granted
06/25/2009
Date expires
12/25/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Medora IN 47260-0112
indianalicensing.org
ID 8493603
LAST UPDATED 2024-03-23 18:28:49 UTC
LAST UPDATED 2024-03-23 18:28:49 UTC
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