License holder summary

Patricia L. Stacy is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Patricia L. Stacy is Fort Wayne IN 46808-3201. This licensed professional license is not current. The license was granted 05/03/2010 and expired on 11/03/2010.

Indiana

Professional Licensing Agency

Patricia L. Stacy
Radiology Provisional Permit
License number
XP502524
Date granted
05/03/2010
Date expires
11/03/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fort Wayne IN 46808-3201
indianalicensing.org
ID 8491015
LAST UPDATED 2024-03-16 09:48:31 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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