License holder summary

Erica R. Petersen is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Erica R. Petersen is Fort Wayne IN 46804. This licensed professional license is not current. The license was granted 05/16/2013 and expired on 11/16/2013.

Indiana

Professional Licensing Agency

Erica R. Petersen
Radiology Provisional Permit
License number
XP504755
Date granted
05/16/2013
Date expires
11/16/2013
Class
Radiology Provisional Permit
Status
Superceded
Address
Fort Wayne IN 46804
indianalicensing.org
ID 8490915
LAST UPDATED 2024-01-27 20:12:02 UTC

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