Indiana
Professional Licensing Agency
Tracey D. Burress
Radiology Provisional Permit
License number
XP502994
Date granted
11/18/2010
Date expires
05/18/2011
Class
Radiology Provisional Permit
Status
Superceded
Address
Dillsboro IN 47018
indianalicensing.org
ID 8490187
LAST UPDATED 2024-02-15 02:42:35 UTC
LAST UPDATED 2024-02-15 02:42:35 UTC
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