Indiana
Professional Licensing Agency
Kaitlin J. Smith
Radiology Provisional Permit
License number
XP505519
Date granted
04/25/2014
Date expires
10/25/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Corydon IN 47112
indianalicensing.org
ID 29206162
LAST UPDATED 2026-06-10 04:17:59 UTC
LAST UPDATED 2026-06-10 04:17:59 UTC
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