License holder summary

Taylor M. Householder is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Taylor M. Householder is Laotto IN 46763. This licensed professional license is current. The license was granted 11/12/2014 and expired on 05/12/2015.

Indiana

Professional Licensing Agency

Taylor M. Householder
Radiology Provisional Permit
License number
XP506017
Date granted
11/12/2014
Date expires
05/12/2015
Class
Radiology Provisional Permit
Status
Active
Address
Laotto IN 46763
indianalicensing.org
ID 29206996
LAST UPDATED 2026-04-21 15:56:07 UTC

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