License holder summary

Tracee R. Rodman is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Tracee R. Rodman is Portage IN 46368-4500. This licensed professional license is not current. The license was granted 11/04/2005 and expired on 12/31/2007.

Indiana

Professional Licensing Agency

Tracee R. Rodman
Radiology Provisional Permit
License number
XP500608
Date granted
11/04/2005
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Portage IN 46368-4500
indianalicensing.org
ID 8494885
LAST UPDATED 2024-02-20 01:52:11 UTC

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