License holder summary

Daniella B. Modesitt is a Radiology Student Permit licensed to practice in Indiana. The address on file for Daniella B. Modesitt is Brazil IN 47834-6892. This licensed professional license is not current. The license was granted 10/25/2007 and expired on 12/04/2007.

Indiana

Professional Licensing Agency

Daniella B. Modesitt
Radiology Student Permit
License number
XS001465
Date granted
10/25/2007
Date expires
12/04/2007
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Brazil IN 47834-6892
indianalicensing.org
ID 8496766
LAST UPDATED 2024-04-14 18:31:27 UTC

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