License holder summary

Lisa E. Smith is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Lisa E. Smith is Lebanon IN 46052-1250. This licensed professional license is not current. The license was granted 03/08/2011 and expired on 09/08/2011.

Indiana

Professional Licensing Agency

Lisa E. Smith
Radiology Provisional Permit
License number
XP503250
Date granted
03/08/2011
Date expires
09/08/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Lebanon IN 46052-1250
indianalicensing.org
ID 8493264
LAST UPDATED 2024-04-17 08:26:42 UTC

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