License holder summary

Brookelyn M. Henson is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Brookelyn M. Henson is Petersburg IN 47567. This licensed professional license is not current. The license was granted 02/12/2014 and expired on 08/12/2014.

Indiana

Professional Licensing Agency

Brookelyn M. Henson
Radiology Provisional Permit
License number
XP505306
Date granted
02/12/2014
Date expires
08/12/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Petersburg IN 47567
indianalicensing.org
ID 29207424
LAST UPDATED 2026-05-27 14:21:51 UTC

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