Indiana
Professional Licensing Agency
Villian Fields
Radiology Provisional Permit
License number
XP504411
Date granted
11/16/2012
Date expires
05/16/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Gary IN 46404
indianalicensing.org
ID 8491299
LAST UPDATED 2024-04-30 10:30:51 UTC
LAST UPDATED 2024-04-30 10:30:51 UTC
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