Indiana
Professional Licensing Agency
Verniqua R. Malone
Radiology Provisional Permit
License number
XP504665
Date granted
04/17/2013
Date expires
10/17/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Mishawaka IN 46545
indianalicensing.org
ID 8495503
LAST UPDATED 2026-04-22 15:29:04 UTC
LAST UPDATED 2026-04-22 15:29:04 UTC
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