License holder summary

Sandra K. Tirotta-Kazmierczak is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Sandra K. Tirotta-Kazmierczak is South Bend IN 46628. This licensed professional license is not current. The license was granted 02/01/2012 and expired on 08/01/2012.

Indiana

Professional Licensing Agency

Sandra K. Tirotta-Kazmierczak
Radiology Provisional Permit
License number
XP503845
Date granted
02/01/2012
Date expires
08/01/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
South Bend IN 46628
indianalicensing.org
ID 8495485
LAST UPDATED 2024-02-15 14:12:36 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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