License holder summary

Brittany A. Wagner is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Brittany A. Wagner is Lafayette IN 47905. This licensed professional license is not current. The license was granted 03/13/2013 and expired on 09/13/2013.

Indiana

Professional Licensing Agency

Brittany A. Wagner
Radiology Provisional Permit
License number
XP504604
Date granted
03/13/2013
Date expires
09/13/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Lafayette IN 47905
indianalicensing.org
ID 8493089
LAST UPDATED 2024-02-19 14:18:32 UTC

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