Indiana
Professional Licensing Agency
Tracy A. Vance
Radiology Provisional Permit
License number
XP505429
Date granted
03/21/2014
Date expires
09/21/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Lafayette IN 47909
indianalicensing.org
ID 29206976
LAST UPDATED 2024-04-09 16:47:47 UTC
LAST UPDATED 2024-04-09 16:47:47 UTC
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