License holder summary

Katherine A. Grissom is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Katherine A. Grissom is Lake Village IN 46349-9318. This licensed professional license is not current. The license was granted 11/23/2010 and expired on 05/23/2011.

Indiana

Professional Licensing Agency

Katherine A. Grissom
Radiology Provisional Permit
License number
XP503004
Date granted
11/23/2010
Date expires
05/23/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Lake Village IN 46349-9318
indianalicensing.org
ID 8493172
LAST UPDATED 2024-03-15 18:19:45 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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