License holder summary

Taylor R. Nicoulin is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Taylor R. Nicoulin is Borden IN 47106. This licensed professional license is current. The license was granted 06/20/2014 and expired on 12/20/2014.

Indiana

Professional Licensing Agency

Taylor R. Nicoulin
Radiology Provisional Permit
License number
XP505628
Date granted
06/20/2014
Date expires
12/20/2014
Class
Radiology Provisional Permit
Status
Active
Address
Borden IN 47106
indianalicensing.org
ID 29206010
LAST UPDATED 2024-04-27 00:28:01 UTC

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