License holder summary

Antwan M. Kidd is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Antwan M. Kidd is Hammond IN 46323-2432. This licensed professional license is not current. The license was granted 05/12/2010 and expired on 11/12/2010.

Indiana

Professional Licensing Agency

Antwan M. Kidd
Radiology Provisional Permit
License number
XP502552
Date granted
05/12/2010
Date expires
11/12/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Hammond IN 46323-2432
indianalicensing.org
ID 8491733
LAST UPDATED 2024-02-25 16:36:30 UTC

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