License holder summary

Kacie A Champagne is a Radiology Student Permit licensed to practice in Indiana. The address on file for Kacie A Champagne is Fort Wayne IN 46835. This licensed professional license is not current. The license was granted 09/10/2013 and expired on 11/30/2014.

Indiana

Professional Licensing Agency

Kacie A Champagne
Radiology Student Permit
License number
XS006841
Date granted
09/10/2013
Date expires
11/30/2014
Class
Radiology Student Permit
Status
Superceded
Address
Fort Wayne IN 46835
indianalicensing.org
ID 8498608
LAST UPDATED 2024-04-17 14:23:38 UTC

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