License holder summary

Tina M. Wittorp is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Tina M. Wittorp is Kouts IN 46347. This licensed professional license is not current. The license was granted 10/13/2011 and expired on 04/13/2012.

Indiana

Professional Licensing Agency

Tina M. Wittorp
Radiology Provisional Permit
License number
XP503693
Date granted
10/13/2011
Date expires
04/13/2012
Class
Radiology Provisional Permit
Status
Superceded
Address
Kouts IN 46347
indianalicensing.org
ID 8493052
LAST UPDATED 2024-04-25 15:42:28 UTC

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