License holder summary

Kathleen S. Grisham is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Kathleen S. Grisham is Jeffersonville IN 47130. This licensed professional license is not current. The license was granted 02/15/2011 and expired on 08/15/2011.

Indiana

Professional Licensing Agency

Kathleen S. Grisham
Radiology Provisional Permit
License number
XP503184
Date granted
02/15/2011
Date expires
08/15/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Jeffersonville IN 47130
indianalicensing.org
ID 8489639
LAST UPDATED 2024-02-12 18:48:10 UTC

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