License holder summary

Koran P. Stephens is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Koran P. Stephens is Indianapolis IN 46236-6200. This licensed professional license is not current. The license was granted 09/09/2008 and expired on 03/09/2009.

Indiana

Professional Licensing Agency

Koran P. Stephens
Radiology Provisional Permit
License number
XP501346
Date granted
09/09/2008
Date expires
03/09/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 46236-6200
indianalicensing.org
ID 8492441
LAST UPDATED 2024-04-11 00:39:02 UTC

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