Indiana
Professional Licensing Agency
Travis L. Crim
Radiology Provisional Permit
License number
XP505102
Date granted
11/21/2013
Date expires
05/21/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Pendleton IN 46064
indianalicensing.org
ID 29207417
LAST UPDATED 2024-04-06 21:02:12 UTC
LAST UPDATED 2024-04-06 21:02:12 UTC
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