License holder summary

Kristen E. Mellis is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Kristen E. Mellis is Columbus IN 47203. This licensed professional license is not current. The license was granted 03/18/2013 and expired on 09/18/2013.

Indiana

Professional Licensing Agency

Kristen E. Mellis
Radiology Provisional Permit
License number
XP504614
Date granted
03/18/2013
Date expires
09/18/2013
Class
Radiology Provisional Permit
Status
Superceded
Address
Columbus IN 47203
indianalicensing.org
ID 8489755
LAST UPDATED 2024-02-25 12:48:45 UTC

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