License holder summary

Kim Humphrey is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Kim Humphrey is Lanesville IN 47136. This licensed professional license is not current. The license was granted 09/19/2011 and expired on 03/19/2012.

Indiana

Professional Licensing Agency

Kim Humphrey
Radiology Provisional Permit
License number
XP503620
Date granted
09/19/2011
Date expires
03/19/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Lanesville IN 47136
indianalicensing.org
ID 8493190
LAST UPDATED 2024-02-27 18:00:49 UTC

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