License holder summary

Anjel M. Clark is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Anjel M. Clark is Centerville IN 47330. This licensed professional license is not current. The license was granted 09/19/2013 and expired on 03/19/2014.

Indiana

Professional Licensing Agency

Anjel M. Clark
Radiology Provisional Permit
License number
XP504981
Date granted
09/19/2013
Date expires
03/19/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Centerville IN 47330
indianalicensing.org
ID 8489501
LAST UPDATED 2024-02-27 08:34:18 UTC

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