Indiana
Professional Licensing Agency
Wendy A. Malloy
Radiology Provisional Permit
License number
XP501243
Date granted
06/30/2008
Date expires
12/30/2008
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 46226
indianalicensing.org
ID 8492724
LAST UPDATED 2024-01-03 19:45:22 UTC
LAST UPDATED 2024-01-03 19:45:22 UTC
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