License holder summary

Marie Douglas is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Marie Douglas is New Albany IN 47150-4947. This licensed professional license is not current. The license was granted 06/30/2011 and expired on 12/30/2011.

Indiana

Professional Licensing Agency

Marie Douglas
Radiology Provisional Permit
License number
XP503469
Date granted
06/30/2011
Date expires
12/30/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
New Albany IN 47150-4947
indianalicensing.org
ID 8494177
LAST UPDATED 2024-02-17 17:43:57 UTC

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