License holder summary

Madelyn C. Holm is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Madelyn C. Holm is Indianapolis IN 46221. This licensed professional license is not current. The license was granted 10/18/2013 and expired on 04/18/2014.

Indiana

Professional Licensing Agency

Madelyn C. Holm
Radiology Provisional Permit
License number
XP505060
Date granted
10/18/2013
Date expires
04/18/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 46221
indianalicensing.org
ID 12407218
LAST UPDATED 2024-01-02 22:29:53 UTC

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