License holder summary

Stephanie M. Duffala is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Stephanie M. Duffala is Hammond IN 46324. This licensed professional license is not current. The license was granted 11/16/2012 and expired on 05/16/2013.

Indiana

Professional Licensing Agency

Stephanie M. Duffala
Radiology Provisional Permit
License number
XP504404
Date granted
11/16/2012
Date expires
05/16/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Hammond IN 46324
indianalicensing.org
ID 8491853
LAST UPDATED 2026-05-30 20:35:43 UTC

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