License holder summary

Amanda D. Mathis is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Amanda D. Mathis is Evansville IN 47710. This licensed professional license is current. The license was granted 07/29/2014 and expired on 01/29/2015.

Indiana

Professional Licensing Agency

Amanda D. Mathis
Radiology Provisional Permit
License number
XP505709
Date granted
07/29/2014
Date expires
01/29/2015
Class
Radiology Provisional Permit
Status
Active
Address
Evansville IN 47710
indianalicensing.org
ID 29206331
LAST UPDATED 2024-02-28 09:38:04 UTC

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