License holder summary

Destini Lyn Douglas is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Destini Lyn Douglas is Kokomo IN 46901. This licensed professional license is not current. The license was granted 04/27/2010 and expired on 10/27/2010.

Indiana

Professional Licensing Agency

Destini Lyn Douglas
Radiology Provisional Permit
License number
XP502510
Date granted
04/27/2010
Date expires
10/27/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Kokomo IN 46901
indianalicensing.org
ID 8492998
LAST UPDATED 2024-02-17 04:59:21 UTC

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