License holder summary

Amy L. Grace is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Amy L. Grace is Portage IN 46368-8025. This licensed professional license is not current. The license was granted 08/25/2010 and expired on 02/25/2011.

Indiana

Professional Licensing Agency

Amy L. Grace
Radiology Provisional Permit
License number
XP502753
Date granted
08/25/2010
Date expires
02/25/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Portage IN 46368-8025
indianalicensing.org
ID 8494806
LAST UPDATED 2024-03-05 07:10:07 UTC

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