License holder summary

Brooke Danielle Stults is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Brooke Danielle Stults is South Bend IN 46635. This licensed professional license is not current. The license was granted 09/11/2012 and expired on 03/11/2013.

Indiana

Professional Licensing Agency

Brooke Danielle Stults
Radiology Provisional Permit
License number
XP504235
Date granted
09/11/2012
Date expires
03/11/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
South Bend IN 46635
indianalicensing.org
ID 8495387
LAST UPDATED 2024-02-23 23:34:29 UTC

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