License holder summary

Katie M. Roche is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Katie M. Roche is Glenwood IL 60425. This licensed professional license is not current. The license was granted 04/24/2012 and expired on 10/24/2012.

Indiana

Professional Licensing Agency

Katie M. Roche
Radiology Provisional Permit
License number
XP504047
Date granted
04/24/2012
Date expires
10/24/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Glenwood IL 60425
indianalicensing.org
ID 8491340
LAST UPDATED 2024-03-01 16:50:41 UTC

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