License holder summary

Keith Ford is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Keith Ford is Indianapolis IN 46203. This licensed professional license is not current. The license was granted 03/10/2011 and expired on 09/10/2011.

Indiana

Professional Licensing Agency

Keith Ford
Radiology Provisional Permit
License number
XP503252
Date granted
03/10/2011
Date expires
09/10/2011
Class
Radiology Provisional Permit
Status
Superceded
Address
Indianapolis IN 46203
indianalicensing.org
ID 8492416
LAST UPDATED 2024-04-01 01:39:20 UTC

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