License holder summary

Kelly M. Church is a Radiology Student Permit licensed to practice in Indiana. The address on file for Kelly M. Church is Valparaiso IN 46383-5118. This licensed professional license is current. The license was granted 04/26/2011 and expired on 11/30/2014.

Indiana

Professional Licensing Agency

Kelly M. Church
Radiology Student Permit
License number
XS004688
Date granted
04/26/2011
Date expires
11/30/2014
Class
Radiology Student Permit
Status
Active
Address
Valparaiso IN 46383-5118
indianalicensing.org
ID 8503702
LAST UPDATED 2024-04-22 06:31:10 UTC

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