License holder summary

Andi R. Thacker is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Andi R. Thacker is Mitchell IN 47446. This licensed professional license is not current. The license was granted 08/28/2012 and expired on 02/28/2013.

Indiana

Professional Licensing Agency

Andi R. Thacker
Radiology Provisional Permit
License number
XP504217
Date granted
08/28/2012
Date expires
02/28/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Mitchell IN 47446
indianalicensing.org
ID 8493876
LAST UPDATED 2024-02-06 14:59:57 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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