License holder summary

Heather E. Brockman is a Radiology Student Permit licensed to practice in Indiana. The address on file for Heather E. Brockman is Fountain City IN 47341. This licensed professional license is current. The license was granted 08/05/2014 and expired on 01/31/2017.

Indiana

Professional Licensing Agency

Heather E. Brockman
Radiology Student Permit
License number
XS007463
Date granted
08/05/2014
Date expires
01/31/2017
Class
Radiology Student Permit
Status
Active
Address
Fountain City IN 47341
indianalicensing.org
ID 29208479
LAST UPDATED 2024-02-07 08:19:44 UTC

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