License holder summary

Kelsey M. Clark is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Kelsey M. Clark is Elkhart IN 46514. This licensed professional license is not current. The license was granted 07/31/2012 and expired on 01/31/2013.

Indiana

Professional Licensing Agency

Kelsey M. Clark
Radiology Provisional Permit
License number
XP504165
Date granted
07/31/2012
Date expires
01/31/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Elkhart IN 46514
indianalicensing.org
ID 8490427
LAST UPDATED 2024-04-01 22:09:27 UTC

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