License holder summary

Allissa L. Mitchell is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Allissa L. Mitchell is Fort Wayne IN 46803. This licensed professional license is not current. The license was granted 01/27/2012 and expired on 07/27/2012.

Indiana

Professional Licensing Agency

Allissa L. Mitchell
Radiology Provisional Permit
License number
XP503834
Date granted
01/27/2012
Date expires
07/27/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fort Wayne IN 46803
indianalicensing.org
ID 8490847
LAST UPDATED 2024-03-27 18:56:10 UTC

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