License holder summary

Kristen N. Gilliam is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Kristen N. Gilliam is Knightstown IN 46148-1020. This licensed professional license is not current. The license was granted 02/07/2008 and expired on 08/07/2008.

Indiana

Professional Licensing Agency

Kristen N. Gilliam
Radiology Provisional Permit
License number
XP500959
Date granted
02/07/2008
Date expires
08/07/2008
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Knightstown IN 46148-1020
indianalicensing.org
ID 8492953
LAST UPDATED 2024-04-05 00:38:41 UTC

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