License holder summary

Beverly R. Ellison is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Beverly R. Ellison is Elkhart IN 46517-1638. This licensed professional license is not current. The license was granted 05/11/2009 and expired on 11/11/2009.

Indiana

Professional Licensing Agency

Beverly R. Ellison
Radiology Provisional Permit
License number
XP501792
Date granted
05/11/2009
Date expires
11/11/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Elkhart IN 46517-1638
indianalicensing.org
ID 8490379
LAST UPDATED 2024-02-29 22:15:02 UTC

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