License holder summary

Lisa J. Eizenga is a Radiology Student Permit licensed to practice in Indiana. The address on file for Lisa J. Eizenga is Dyer IN 46311-2784. This licensed professional license is not current. The license was granted 05/21/2010 and expired on 11/30/2012.

Indiana

Professional Licensing Agency

Lisa J. Eizenga
Radiology Student Permit
License number
XS003850
Date granted
05/21/2010
Date expires
11/30/2012
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Dyer IN 46311-2784
indianalicensing.org
ID 8497814
LAST UPDATED 2024-04-07 08:49:17 UTC

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