License holder summary

Brooke E. Smith is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Brooke E. Smith is Salamonia IN 473815881. This licensed professional license is not current. The license was granted 01/22/2004 and expired on 12/31/2007.

Indiana

Professional Licensing Agency

Brooke E. Smith
Radiology Provisional Permit
License number
XP500452
Date granted
01/22/2004
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Salamonia IN 473815881
indianalicensing.org
ID 8495098
LAST UPDATED 2024-04-10 02:09:21 UTC

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