License holder summary

Michael T. Wise is a Radiology Student Permit licensed to practice in Indiana. The address on file for Michael T. Wise is Indianapolis IN 46224-6121. This licensed professional license is not current. The license was granted 08/05/2009 and expired on 11/30/2011.

Indiana

Professional Licensing Agency

Michael T. Wise
Radiology Student Permit
License number
XS003135
Date granted
08/05/2009
Date expires
11/30/2011
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 46224-6121
indianalicensing.org
ID 8500302
LAST UPDATED 2026-06-13 13:32:37 UTC

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