License holder summary

Emily R. Christlieb-Pequignot is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Emily R. Christlieb-Pequignot is Fort Wayne IN 46804-6907. This licensed professional license is not current. The license was granted 05/05/2010 and expired on 11/05/2010.

Indiana

Professional Licensing Agency

Emily R. Christlieb-Pequignot
Radiology Provisional Permit
License number
XP502535
Date granted
05/05/2010
Date expires
11/05/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fort Wayne IN 46804-6907
indianalicensing.org
ID 8490913
LAST UPDATED 2024-05-06 19:04:38 UTC

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