License holder summary

Stacey L. Koontz is a Radiology Student Permit licensed to practice in Indiana. The address on file for Stacey L. Koontz is Avon IN 46123. This licensed professional license is not current. The license was granted 04/07/2009 and expired on 01/31/2011.

Indiana

Professional Licensing Agency

Stacey L. Koontz
Radiology Student Permit
License number
XS002692
Date granted
04/07/2009
Date expires
01/31/2011
Class
Radiology Student Permit
Status
Superceded
Address
Avon IN 46123
indianalicensing.org
ID 8500432
LAST UPDATED 2024-03-04 17:19:15 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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