License holder summary

Amanda J. Chism is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Amanda J. Chism is New Albany IN 47150-2175. This licensed professional license is not current. The license was granted 10/01/2009 and expired on 04/01/2010.

Indiana

Professional Licensing Agency

Amanda J. Chism
Radiology Provisional Permit
License number
XP502024
Date granted
10/01/2009
Date expires
04/01/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
New Albany IN 47150-2175
indianalicensing.org
ID 8494113
LAST UPDATED 2024-02-16 06:38:01 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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