Indiana
Professional Licensing Agency
Tracy L. McCallister
Radiology Provisional Permit
License number
XP500437
Date granted
11/04/2005
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Terre Haute IN 478032364
indianalicensing.org
ID 8495692
LAST UPDATED 2024-02-20 19:32:21 UTC
LAST UPDATED 2024-02-20 19:32:21 UTC
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