License holder summary

Andrea L. Hicks is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Andrea L. Hicks is Modoc IN 47358. This licensed professional license is not current. The license was granted 02/05/2013 and expired on 08/05/2013.

Indiana

Professional Licensing Agency

Andrea L. Hicks
Radiology Provisional Permit
License number
XP504487
Date granted
02/05/2013
Date expires
08/05/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Modoc IN 47358
indianalicensing.org
ID 8493898
LAST UPDATED 2024-04-20 02:50:28 UTC

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