License holder summary

Mavis Y. Johnson is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Mavis Y. Johnson is Merrillville IN 46410. This licensed professional license is not current. The license was granted 07/12/2013 and expired on 01/12/2014.

Indiana

Professional Licensing Agency

Mavis Y. Johnson
Radiology Provisional Permit
License number
XP504840
Date granted
07/12/2013
Date expires
01/12/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Merrillville IN 46410
indianalicensing.org
ID 8493666
LAST UPDATED 2024-04-10 08:55:07 UTC

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