License holder summary

Misty J. Sullivan is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Misty J. Sullivan is Pekin IN 47165-7813. This licensed professional license is not current. The license was granted 05/25/2010 and expired on 11/25/2010.

Indiana

Professional Licensing Agency

Misty J. Sullivan
Radiology Provisional Permit
License number
XP502574
Date granted
05/25/2010
Date expires
11/25/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Pekin IN 47165-7813
indianalicensing.org
ID 8494683
LAST UPDATED 2024-02-11 08:23:22 UTC

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