Andi R. Thacker
Radiology Provisional Permit
Indiana XP504217 Expired Non-Renewable
This Indiana license was held by Andi R. Thacker. The license is no longer active. It was granted on 08/28/2012 and expired on 02/28/2013
LICENSE DETAILS
- License Number: XP504217
- Category: Radiology Provisional Permit
- Status: Expired Non-Renewable
- Date Granted: 08/28/2012 (over 12 years ago)
- Expiry Date: 02/28/2013 (about 12 years ago)
LOCATIONS
A Address
Mitchell IN 47446