License holder summary

Kylie Shafer is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Kylie Shafer is Parker City IN 47368-9313. This licensed professional license is not current. The license was granted 04/02/2009 and expired on 10/02/2009.

Indiana

Professional Licensing Agency

Kylie Shafer
Radiology Provisional Permit
License number
XP501716
Date granted
04/02/2009
Date expires
10/02/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Parker City IN 47368-9313
indianalicensing.org
ID 8494661
LAST UPDATED 2024-02-27 01:26:08 UTC

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