License holder summary

Tiffany L. Bullock is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Tiffany L. Bullock is Bloomfield, IN 47424. This licensed professional license is not current. The license was granted 08/26/2013 and expired on 02/26/2014.

Indiana

Professional Licensing Agency

Tiffany L. Bullock
Radiology Provisional Permit
License number
XP504918
Date granted
08/26/2013
Date expires
02/26/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Bloomfield, IN 47424
indianalicensing.org
ID 8489048
LAST UPDATED 2026-05-12 10:00:23 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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