License holder summary

Madison N. Holder is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Madison N. Holder is Shirley IN 47384. This licensed professional license is not current. The license was granted 01/16/2014 and expired on 07/16/2014.

Indiana

Professional Licensing Agency

Madison N. Holder
Radiology Provisional Permit
License number
XP505178
Date granted
01/16/2014
Date expires
07/16/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Shirley IN 47384
indianalicensing.org
ID 29207619
LAST UPDATED 2024-03-24 11:41:42 UTC

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