License holder summary

Crystal D. Stackhouse is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Crystal D. Stackhouse is Clarksville IN 47129-1042. This licensed professional license is not current. The license was granted 10/02/2008 and expired on 04/02/2009.

Indiana

Professional Licensing Agency

Crystal D. Stackhouse
Radiology Provisional Permit
License number
XP501436
Date granted
10/02/2008
Date expires
04/02/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Clarksville IN 47129-1042
indianalicensing.org
ID 8489628
LAST UPDATED 2024-02-16 12:12:02 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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