Indiana
Professional Licensing Agency
Tracy J. Risch
Radiology Provisional Permit
License number
XP500176
Date granted
03/30/2007
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Centerville IN 473309649
indianalicensing.org
ID 8489528
LAST UPDATED 2026-05-12 19:30:14 UTC
LAST UPDATED 2026-05-12 19:30:14 UTC
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