License holder summary

Reva A. Collins is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Reva A. Collins is Gary IN 46408-4557. This licensed professional license is not current. The license was granted 04/08/2010 and expired on 10/08/2010.

Indiana

Professional Licensing Agency

Reva A. Collins
Radiology Provisional Permit
License number
XP502486
Date granted
04/08/2010
Date expires
10/08/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Gary IN 46408-4557
indianalicensing.org
ID 8491261
LAST UPDATED 2024-01-29 14:49:48 UTC

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