Indiana
Professional Licensing Agency
Tonya M. Wade
Radiology Provisional Permit
License number
XP502955
Date granted
11/04/2010
Date expires
05/04/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Lake Station IN 46405-3222
indianalicensing.org
ID 8493160
LAST UPDATED 2024-04-03 05:30:25 UTC
LAST UPDATED 2024-04-03 05:30:25 UTC
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