License holder summary

Latasha M. Burgess is a Radiology Student Permit licensed to practice in Indiana. The address on file for Latasha M. Burgess is Gary IN 46407-3653. This licensed professional license is not current. The license was granted 03/07/2008 and expired on 10/31/2008.

Indiana

Professional Licensing Agency

Latasha M. Burgess
Radiology Student Permit
License number
XS001630
Date granted
03/07/2008
Date expires
10/31/2008
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Gary IN 46407-3653
indianalicensing.org
ID 8499003
LAST UPDATED 2024-04-25 18:57:32 UTC

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