License holder summary

Mikie N. Kacmar is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Mikie N. Kacmar is Valparaiso IN 46385-9611. This licensed professional license is not current. The license was granted 06/28/2011 and expired on 12/28/2011.

Indiana

Professional Licensing Agency

Mikie N. Kacmar
Radiology Provisional Permit
License number
XP503458
Date granted
06/28/2011
Date expires
12/28/2011
Class
Radiology Provisional Permit
Status
Superceded
Address
Valparaiso IN 46385-9611
indianalicensing.org
ID 8495823
LAST UPDATED 2024-04-14 21:06:16 UTC

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