Indiana
Professional Licensing Agency
Kathryn M. Kanczuzewski
Radiology Provisional Permit
License number
XP503777
Date granted
12/05/2011
Date expires
06/05/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
South Bend IN 46616
indianalicensing.org
ID 8495432
LAST UPDATED 2026-05-31 07:32:43 UTC
LAST UPDATED 2026-05-31 07:32:43 UTC
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