License holder summary

Tara E. Provance-Kosel is a Radiology Student Permit licensed to practice in Indiana. The address on file for Tara E. Provance-Kosel is Wabash IN 46992-3802. This licensed professional license is not current. The license was granted 09/06/2011 and expired on 11/30/2012.

Indiana

Professional Licensing Agency

Tara E. Provance-Kosel
Radiology Student Permit
License number
XS005171
Date granted
09/06/2011
Date expires
11/30/2012
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Wabash IN 46992-3802
indianalicensing.org
ID 8503842
LAST UPDATED 2024-03-23 02:52:42 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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