License holder summary

Brooke M. Dicks is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Brooke M. Dicks is Greenfield IN 46140-9616. This licensed professional license is not current. The license was granted 11/04/2010 and expired on 05/04/2011.

Indiana

Professional Licensing Agency

Brooke M. Dicks
Radiology Provisional Permit
License number
XP502960
Date granted
11/04/2010
Date expires
05/04/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Greenfield IN 46140-9616
indianalicensing.org
ID 8491468
LAST UPDATED 2024-04-16 13:59:18 UTC

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