License holder summary

Wanda M Whitaker is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Wanda M Whitaker is Indianapolis IN 46254. This licensed professional license is not current. The license was granted 01/19/2012 and expired on 07/19/2012.

Indiana

Professional Licensing Agency

Wanda M Whitaker
Radiology Provisional Permit
License number
XP503821
Date granted
01/19/2012
Date expires
07/19/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 46254
indianalicensing.org
ID 8492716
LAST UPDATED 2024-04-16 18:32:57 UTC

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