Tammy J. Forrest
Radiology Provisional Permit
Indiana XP502347 Superceded
This Indiana license was held by Tammy J. Forrest. The license is no longer active. It was granted on 02/12/2010 and expired on 08/12/2010
LICENSE DETAILS
- License Number: XP502347
- Category: Radiology Provisional Permit
- Status: Superceded
- Date Granted: 02/12/2010 (over 14 years ago)
- Expiry Date: 08/12/2010 (almost 14 years ago)
LOCATIONS
A Address
Valparaiso IN 46383-9524