License holder summary

Traci L. Derda is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Traci L. Derda is Granger IN 46530-8147. This licensed professional license is not current. The license was granted 03/21/2011 and expired on 09/21/2011.

Indiana

Professional Licensing Agency

Traci L. Derda
Radiology Provisional Permit
License number
XP503271
Date granted
03/21/2011
Date expires
09/21/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Granger IN 46530-8147
indianalicensing.org
ID 8491432
LAST UPDATED 2024-04-22 05:17:22 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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