License holder summary

Heather A. Mayabb is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Heather A. Mayabb is West Lafayette IN 47906. This licensed professional license is not current. The license was granted 08/29/2012 and expired on 08/09/2013.

Indiana

Professional Licensing Agency

Heather A. Mayabb
Radiology Provisional Permit
License number
XP504219
Date granted
08/29/2012
Date expires
08/09/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
West Lafayette IN 47906
indianalicensing.org
ID 8495995
LAST UPDATED 2024-05-02 06:58:10 UTC

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