License holder summary

Tamara L. Coburn is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Tamara L. Coburn is Corydon IN 47112-5605. This licensed professional license is not current. The license was granted 02/06/2009 and expired on 08/06/2009.

Indiana

Professional Licensing Agency

Tamara L. Coburn
Radiology Provisional Permit
License number
XP501636
Date granted
02/06/2009
Date expires
08/06/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Corydon IN 47112-5605
indianalicensing.org
ID 8489896
LAST UPDATED 2024-05-09 16:50:09 UTC

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