License holder summary

Heather R. Siebenthal is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Heather R. Siebenthal is Indianapolis IN 462240000. This licensed professional license is not current. The license was granted 03/17/2006 and expired on 12/31/2007.

Indiana

Professional Licensing Agency

Heather R. Siebenthal
Radiology Provisional Permit
License number
XP500220
Date granted
03/17/2006
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 462240000
indianalicensing.org
ID 8492327
LAST UPDATED 2024-03-26 07:41:25 UTC

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