Kadidja Goni Mallcum
Radiology Provisional Permit
Indiana XP506019 Active
This Indiana license is held by Kadidja Goni Mallcum. The license is currently active. It was granted on 11/12/2014 and expired on 05/12/2015
LICENSE DETAILS
- License Number: XP506019
- Category: Radiology Provisional Permit
- Status: Active
- Date Granted: 11/12/2014 (over 9 years ago)
- Expiry Date: 05/12/2015 (about 9 years ago)
LOCATIONS
A Address
Fort Wayne IN 46825
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