License holder summary

Danielle A. Brock is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Danielle A. Brock is Indianapolis IN 46234. This licensed professional license is not current. The license was granted 06/02/2014 and expired on 12/02/2014.

Indiana

Professional Licensing Agency

Danielle A. Brock
Radiology Provisional Permit
License number
XP505594
Date granted
06/02/2014
Date expires
12/02/2014
Class
Radiology Provisional Permit
Status
Superceded
Address
Indianapolis IN 46234
indianalicensing.org
ID 29206771
LAST UPDATED 2024-02-15 08:47:59 UTC

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