License holder summary

Lareesa M. Medford is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Lareesa M. Medford is Fort Wayne IN 46805. This licensed professional license is current. The license was granted 07/29/2014 and expired on 01/29/2015.

Indiana

Professional Licensing Agency

Lareesa M. Medford
Radiology Provisional Permit
License number
XP505722
Date granted
07/29/2014
Date expires
01/29/2015
Class
Radiology Provisional Permit
Status
Active
Address
Fort Wayne IN 46805
indianalicensing.org
ID 29206435
LAST UPDATED 2024-03-26 17:19:28 UTC

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