License holder summary

Chaka Michelle Douglas is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Chaka Michelle Douglas is New Albany IN 471505077. This licensed professional license is not current. The license was granted 06/09/2006 and expired on 12/31/2007.

Indiana

Professional Licensing Agency

Chaka Michelle Douglas
Radiology Provisional Permit
License number
XP500244
Date granted
06/09/2006
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
New Albany IN 471505077
indianalicensing.org
ID 8494131
LAST UPDATED 2024-03-05 09:44:23 UTC

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