License holder summary

Megan A. Micinski is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Megan A. Micinski is Mishawaka IN 46544. This licensed professional license is not current. The license was granted 09/26/2012 and expired on 03/26/2013.

Indiana

Professional Licensing Agency

Megan A. Micinski
Radiology Provisional Permit
License number
XP504294
Date granted
09/26/2012
Date expires
03/26/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Mishawaka IN 46544
indianalicensing.org
ID 8493840
LAST UPDATED 2024-03-16 10:27:02 UTC

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