License holder summary

Samantha G. Ford is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Samantha G. Ford is La Porte IN 46350-4939. This licensed professional license is not current. The license was granted 10/20/2009 and expired on 04/20/2010.

Indiana

Professional Licensing Agency

Samantha G. Ford
Radiology Provisional Permit
License number
XP502073
Date granted
10/20/2009
Date expires
04/20/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
La Porte IN 46350-4939
indianalicensing.org
ID 8493072
LAST UPDATED 2024-04-13 05:49:18 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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