License holder summary

Ashley D. Polen is a Radiology Student Permit licensed to practice in Indiana. The address on file for Ashley D. Polen is Petersburg IN 47567-8524. This licensed professional license is not current. The license was granted 05/26/2010 and expired on 11/30/2012.

Indiana

Professional Licensing Agency

Ashley D. Polen
Radiology Student Permit
License number
XS003866
Date granted
05/26/2010
Date expires
11/30/2012
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Petersburg IN 47567-8524
indianalicensing.org
ID 8502569
LAST UPDATED 2024-02-15 01:10:30 UTC

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