License Information

The holder whose full name is Douglas, Chaka Michelle,come from New Albany IN,hold the Radiology Provisional Permit - Limited Medical Radiology license(NO.XP500244) which status is Expired Non-Renewable.

NameDouglas, Chaka Michelle
License NumberXP500244
License TypeRadiology Provisional Permit - Limited Medical Radiology
License StatusExpired Non-Renewable
CityNew Albany
StateIN

Other

Comments