License holder summary

Chase M. Lewandowski is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Chase M. Lewandowski is Plymouth IN 46563-2804. This licensed professional license is not current. The license was granted 06/30/2011 and expired on 12/30/2011.

Indiana

Professional Licensing Agency

Chase M. Lewandowski
Radiology Provisional Permit
License number
XP503477
Date granted
06/30/2011
Date expires
12/30/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Plymouth IN 46563-2804
indianalicensing.org
ID 8494789
LAST UPDATED 2024-04-15 12:55:42 UTC

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