Indiana
Professional Licensing Agency
Ursula P. Eady
Radiology Provisional Permit
License number
XP501413
Date granted
10/01/2008
Date expires
04/01/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fort Wayne IN 46835-9107
indianalicensing.org
ID 8491089
LAST UPDATED 2024-03-16 22:22:58 UTC
LAST UPDATED 2024-03-16 22:22:58 UTC
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