License holder summary

Breanna L. Short is a Radiology Student Permit licensed to practice in Indiana. The address on file for Breanna L. Short is Avon IN 46123. This licensed professional license is not current. The license was granted 08/20/2012 and expired on 02/28/2014.

Indiana

Professional Licensing Agency

Breanna L. Short
Radiology Student Permit
License number
XS005966
Date granted
08/20/2012
Date expires
02/28/2014
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Avon IN 46123
indianalicensing.org
ID 8496458
LAST UPDATED 2024-02-18 22:18:11 UTC

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