License holder summary

Stephanie L. Gillum is a Radiology Student Permit licensed to practice in Indiana. The address on file for Stephanie L. Gillum is Fort Wayne IN 46845. This licensed professional license is current. The license was granted 09/04/2012 and expired on 01/31/2015.

Indiana

Professional Licensing Agency

Stephanie L. Gillum
Radiology Student Permit
License number
XS006052
Date granted
09/04/2012
Date expires
01/31/2015
Class
Radiology Student Permit
Status
Active
Address
Fort Wayne IN 46845
indianalicensing.org
ID 8498759
LAST UPDATED 2024-04-26 04:03:38 UTC

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