License holder summary

Nikki L. Henderson is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Nikki L. Henderson is Valparaiso IN 46383-8378. This licensed professional license is not current. The license was granted 12/05/2011 and expired on 06/05/2012.

Indiana

Professional Licensing Agency

Nikki L. Henderson
Radiology Provisional Permit
License number
XP503764
Date granted
12/05/2011
Date expires
06/05/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Valparaiso IN 46383-8378
indianalicensing.org
ID 8495829
LAST UPDATED 2024-04-21 07:21:46 UTC

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