License holder summary

Kathryn M. Kanczuzewski is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Kathryn M. Kanczuzewski is South Bend IN 46616. This licensed professional license is not current. The license was granted 12/05/2011 and expired on 06/05/2012.

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 2024-03-09 16:27:50 UTC

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