License holder summary

Michael T. Ambrose is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Michael T. Ambrose is Hobart IN 46342. This licensed professional license is not current. The license was granted 03/03/2014 and expired on 09/03/2014.

Indiana

Professional Licensing Agency

Michael T. Ambrose
Radiology Provisional Permit
License number
XP505363
Date granted
03/03/2014
Date expires
09/03/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Hobart IN 46342
indianalicensing.org
ID 29206719
LAST UPDATED 2024-04-06 04:13:10 UTC

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