License holder summary

Lexus R. Fultz is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Lexus R. Fultz is Fountain City IN 47341. This licensed professional license is current. The license was granted 05/29/2014 and expired on 11/29/2014.

Indiana

Professional Licensing Agency

Lexus R. Fultz
Radiology Provisional Permit
License number
XP505580
Date granted
05/29/2014
Date expires
11/29/2014
Class
Radiology Provisional Permit
Status
Active
Address
Fountain City IN 47341
indianalicensing.org
ID 29206467
LAST UPDATED 2024-04-02 03:32:36 UTC

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