License holder summary

Tina L. Fuller is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Tina L. Fuller is Merrillville IN 46410. This licensed professional license is not current. The license was granted 08/28/2008 and expired on 02/28/2009.

Indiana

Professional Licensing Agency

Tina L. Fuller
Radiology Provisional Permit
License number
XP501312
Date granted
08/28/2008
Date expires
02/28/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Merrillville IN 46410
indianalicensing.org
ID 8493692
LAST UPDATED 2024-04-11 01:45:02 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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