License holder summary

Addistasha J. Walton is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Addistasha J. Walton is South Bend IN 46628-3102. This licensed professional license is not current. The license was granted 04/07/2011 and expired on 10/07/2011.

Indiana

Professional Licensing Agency

Addistasha J. Walton
Radiology Provisional Permit
License number
XP503303
Date granted
04/07/2011
Date expires
10/07/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
South Bend IN 46628-3102
indianalicensing.org
ID 8495367
LAST UPDATED 2026-06-09 06:38:11 UTC

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