License holder summary

Stacy E Prairie is a Radiology Student Permit licensed to practice in Indiana. The address on file for Stacy E Prairie is Demotte IN 46310. This licensed professional license is not current. The license was granted 07/02/2013 and expired on 11/30/2014.

Indiana

Professional Licensing Agency

Stacy E Prairie
Radiology Student Permit
License number
XS006566
Date granted
07/02/2013
Date expires
11/30/2014
Class
Radiology Student Permit
Status
Superceded
Address
Demotte IN 46310
indianalicensing.org
ID 8497755
LAST UPDATED 2024-02-24 18:46:18 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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