License holder summary

Maryssa R. Sullivan is a Radiology Student Permit licensed to practice in Indiana. The address on file for Maryssa R. Sullivan is Shelbyville IN 46176. This licensed professional license is not current. The license was granted 08/20/2012 and expired on 02/28/2014.

Indiana

Professional Licensing Agency

Maryssa R. Sullivan
Radiology Student Permit
License number
XS005961
Date granted
08/20/2012
Date expires
02/28/2014
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Shelbyville IN 46176
indianalicensing.org
ID 8503206
LAST UPDATED 2024-03-20 03:29:43 UTC

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