License holder summary

Amanda L. Bennett is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Amanda L. Bennett is South Bend IN 46637. This licensed professional license is not current. The license was granted 04/08/2014 and expired on 10/08/2014.

Indiana

Professional Licensing Agency

Amanda L. Bennett
Radiology Provisional Permit
License number
XP505467
Date granted
04/08/2014
Date expires
10/08/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
South Bend IN 46637
indianalicensing.org
ID 29207631
LAST UPDATED 2024-01-25 06:06:17 UTC

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