License holder summary

Katelann S. Basham is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Katelann S. Basham is Rushville IN 46173. This licensed professional license is current. The license was granted 10/21/2014 and expired on 04/21/2015.

Indiana

Professional Licensing Agency

Katelann S. Basham
Radiology Provisional Permit
License number
XP505952
Date granted
10/21/2014
Date expires
04/21/2015
Class
Radiology Provisional Permit
Status
Active
Address
Rushville IN 46173
indianalicensing.org
ID 29207528
LAST UPDATED 2024-04-25 22:10:19 UTC

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