License holder summary

Miranda Martin is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Miranda Martin is Lowell IN 46356-7100. This licensed professional license is not current. The license was granted 11/07/2008 and expired on 05/07/2009.

Indiana

Professional Licensing Agency

Miranda Martin
Radiology Provisional Permit
License number
XP501496
Date granted
11/07/2008
Date expires
05/07/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Lowell IN 46356-7100
indianalicensing.org
ID 8493425
LAST UPDATED 2024-03-08 04:47:53 UTC

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