License holder summary

Amelia L. Wagoner is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Amelia L. Wagoner is Avon IN 46123. This licensed professional license is not current. The license was granted 06/03/2011 and expired on 12/03/2011.

Indiana

Professional Licensing Agency

Amelia L. Wagoner
Radiology Provisional Permit
License number
XP503424
Date granted
06/03/2011
Date expires
12/03/2011
Class
Radiology Provisional Permit
Status
Superceded
Address
Avon IN 46123
indianalicensing.org
ID 8492125
LAST UPDATED 2024-01-31 07:17:48 UTC

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