Holly L. Sieg

Radiology Provisional Permit

Indiana  XP500613   Expired Non-Renewable

This Indiana license was held by Holly L. Sieg. The license is no longer active. It was granted on 10/01/2004 and expired on 12/31/2007

LICENSE DETAILS

  • License Number: XP500613
  • Category: Radiology Provisional Permit
  • Status: Expired Non-Renewable
  • Date Granted: 10/01/2004 (over 19 years ago)
  • Expiry Date: 12/31/2007 (over 16 years ago)

LOCATIONS

A Address

Central IN 47110-7822