TaQuilla J. Black
Radiology Provisional Permit
Indiana XP502527 Expired Non-Renewable
This Indiana license was held by TaQuilla J. Black. The license is no longer active. It was granted on 05/05/2010 and expired on 11/05/2010
LICENSE DETAILS
- License Number: XP502527
- Category: Radiology Provisional Permit
- Status: Expired Non-Renewable
- Date Granted: 05/05/2010 (about 14 years ago)
- Expiry Date: 11/05/2010 (over 13 years ago)
LOCATIONS
A Address
Fort Wayne IN 46806-3426