Indiana
Professional Licensing Agency
Traci L. DePozo
Radiology Provisional Permit
License number
XP505217
Date granted
01/24/2014
Date expires
07/24/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Hammond IN 46323
indianalicensing.org
ID 29206646
LAST UPDATED 2024-03-30 11:07:00 UTC
LAST UPDATED 2024-03-30 11:07:00 UTC
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