License holder summary

Kristen M. Deiwert is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Kristen M. Deiwert is Indianapolis IN 46201-4748. This licensed professional license is not current. The license was granted 04/02/2009 and expired on 10/02/2009.

Indiana

Professional Licensing Agency

Kristen M. Deiwert
Radiology Provisional Permit
License number
XP501720
Date granted
04/02/2009
Date expires
10/02/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 46201-4748
indianalicensing.org
ID 8492448
LAST UPDATED 2024-03-06 16:30:29 UTC

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