License holder summary

Marlissa D. Newman is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Marlissa D. Newman is Memphis IN 47143. This licensed professional license is not current. The license was granted 04/25/2014 and expired on 10/25/2014.

Indiana

Professional Licensing Agency

Marlissa D. Newman
Radiology Provisional Permit
License number
XP505507
Date granted
04/25/2014
Date expires
10/25/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Memphis IN 47143
indianalicensing.org
ID 29207102
LAST UPDATED 2024-03-21 09:21:54 UTC

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