License holder summary

Jessica Banta is a Radiology Student Permit licensed to practice in Indiana. The address on file for Jessica Banta is Franklin IN 46131-1854. This licensed professional license is not current. The license was granted 07/07/2009 and expired on 04/30/2010.

Indiana

Professional Licensing Agency

Jessica Banta
Radiology Student Permit
License number
XS002966
Date granted
07/07/2009
Date expires
04/30/2010
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Franklin IN 46131-1854
indianalicensing.org
ID 8498862
LAST UPDATED 2024-03-16 21:37:43 UTC

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