License holder summary

Stephanie L. Coburn is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Stephanie L. Coburn is Indianapolis IN 46219. This licensed professional license is current. The license was granted 06/13/2014 and expired on 12/13/2014.

Indiana

Professional Licensing Agency

Stephanie L. Coburn
Radiology Provisional Permit
License number
XP505600
Date granted
06/13/2014
Date expires
12/13/2014
Class
Radiology Provisional Permit
Status
Active
Address
Indianapolis IN 46219
indianalicensing.org
ID 29206844
LAST UPDATED 2024-04-12 10:44:29 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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