Indiana
Professional Licensing Agency
Tracy F. Mayfield
Radiology Provisional Permit
License number
XP505358
Date granted
02/28/2014
Date expires
08/28/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Rensselaer IN 47978
indianalicensing.org
ID 29207484
LAST UPDATED 2026-06-14 22:56:06 UTC
LAST UPDATED 2026-06-14 22:56:06 UTC
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