License holder summary

Melonie J. Mansfield is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Melonie J. Mansfield is Indianapolis IN 46222-3977. This licensed professional license is not current. The license was granted 03/17/2009 and expired on 09/17/2009.

Indiana

Professional Licensing Agency

Melonie J. Mansfield
Radiology Provisional Permit
License number
XP501679
Date granted
03/17/2009
Date expires
09/17/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 46222-3977
indianalicensing.org
ID 8492527
LAST UPDATED 2024-03-02 09:55:03 UTC

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