License holder summary

George Mathavich is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for George Mathavich is Anderson IN 46011. This licensed professional license is not current. The license was granted 10/21/2013 and expired on 04/21/2014.

Indiana

Professional Licensing Agency

George Mathavich
Radiology Provisional Permit
License number
XP505068
Date granted
10/21/2013
Date expires
04/21/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Anderson IN 46011
indianalicensing.org
ID 12405319
LAST UPDATED 2024-01-19 17:01:06 UTC

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