License holder summary

Lacee T. Fulka is a Radiology Student Permit licensed to practice in Indiana. The address on file for Lacee T. Fulka is Lowell IN 46356. This licensed professional license is not current. The license was granted 04/19/2012 and expired on 11/30/2014.

Indiana

Professional Licensing Agency

Lacee T. Fulka
Radiology Student Permit
License number
XS005533
Date granted
04/19/2012
Date expires
11/30/2014
Class
Radiology Student Permit
Status
Superceded
Address
Lowell IN 46356
indianalicensing.org
ID 8501273
LAST UPDATED 2024-03-06 06:24:30 UTC

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