License holder summary

Kallie Ann Longardner is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Kallie Ann Longardner is Avilla IN 46710. This licensed professional license is current. The license was granted 11/05/2014 and expired on 05/05/2015.

Indiana

Professional Licensing Agency

Kallie Ann Longardner
Radiology Provisional Permit
License number
XP505997
Date granted
11/05/2014
Date expires
05/05/2015
Class
Radiology Provisional Permit
Status
Active
Address
Avilla IN 46710
indianalicensing.org
ID 29205966
LAST UPDATED 2024-02-17 22:19:22 UTC

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