License holder summary

Marissa A. Hiatt is a Radiology Student Permit licensed to practice in Indiana. The address on file for Marissa A. Hiatt is Gaston IN 47342-0281. This licensed professional license is not current. The license was granted 06/20/2011 and expired on 11/30/2012.

Indiana

Professional Licensing Agency

Marissa A. Hiatt
Radiology Student Permit
License number
XS004815
Date granted
06/20/2011
Date expires
11/30/2012
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Gaston IN 47342-0281
indianalicensing.org
ID 8499054
LAST UPDATED 2024-03-31 22:32:25 UTC

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