License holder summary

Alexandria R. Kippenbrock is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Alexandria R. Kippenbrock is Mount Vernon IN 47620. This licensed professional license is not current. The license was granted 05/17/2013 and expired on 11/17/2013.

Indiana

Professional Licensing Agency

Alexandria R. Kippenbrock
Radiology Provisional Permit
License number
XP504763
Date granted
05/17/2013
Date expires
11/17/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Mount Vernon IN 47620
indianalicensing.org
ID 8493986
LAST UPDATED 2024-02-21 21:52:06 UTC

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