Ebonee D Watford

Radiology Provisional Permit

Indiana  XP502984   Expired Non-Renewable

This Indiana license was held by Ebonee D Watford. The license is no longer active. It was granted on 11/10/2010 and expired on 05/10/2011

LICENSE DETAILS

  • License Number: XP502984
  • Category: Radiology Provisional Permit
  • Status: Expired Non-Renewable
  • Date Granted: 11/10/2010 (over 13 years ago)
  • Expiry Date: 05/10/2011 (about 13 years ago)

LOCATIONS

A Address

South Bend IN 46615-3212