License holder summary

Tammy R. Grossman is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Tammy R. Grossman is New Haven IN 46774. This licensed professional license is current. The license was granted 07/16/2014 and expired on 01/16/2015.

Indiana

Professional Licensing Agency

Tammy R. Grossman
Radiology Provisional Permit
License number
XP505677
Date granted
07/16/2014
Date expires
01/16/2015
Class
Radiology Provisional Permit
Status
Active
Address
New Haven IN 46774
indianalicensing.org
ID 29207300
LAST UPDATED 2024-06-01 09:31:36 UTC

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