Denice A. Bruick
Radiology Provisional Permit
Indiana XP503421 Superceded
This Indiana license was held by Denice A. Bruick. The license is no longer active. It was granted on 05/27/2011 and expired on 11/27/2011
LICENSE DETAILS
- License Number: XP503421
- Category: Radiology Provisional Permit
- Status: Superceded
- Date Granted: 05/27/2011 (about 15 years ago)
- Expiry Date: 11/27/2011 (over 14 years ago)
LOCATIONS
A Address
Fort Wayne IN 46845-1370