License holder summary

Rae E. Huizenga is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Rae E. Huizenga is Crown Point IN 46307. This licensed professional license is not current. The license was granted 07/31/2013 and expired on 01/31/2014.

Indiana

Professional Licensing Agency

Rae E. Huizenga
Radiology Provisional Permit
License number
XP504870
Date granted
07/31/2013
Date expires
01/31/2014
Class
Radiology Provisional Permit
Status
Superceded
Address
Crown Point IN 46307
indianalicensing.org
ID 8490050
LAST UPDATED 2024-04-26 10:52:18 UTC

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