Macey N. Lisk
Radiology Provisional Permit
Indiana XP505539 Superceded
This Indiana license was held by Macey N. Lisk. The license is no longer active. It was granted on 05/07/2014 and expired on 11/07/2014
LICENSE DETAILS
- License Number: XP505539
- Category: Radiology Provisional Permit
- Status: Superceded
- Date Granted: 05/07/2014 (about 11 years ago)
- Expiry Date: 11/07/2014 (over 10 years ago)
LOCATIONS
A Address
Muncie IN 47302