License holder summary

Samantha J. Small is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Samantha J. Small is Chandler IN 47610. This licensed professional license is not current. The license was granted 02/25/2013 and expired on 08/25/2013.

Indiana

Professional Licensing Agency

Samantha J. Small
Radiology Provisional Permit
License number
XP504585
Date granted
02/25/2013
Date expires
08/25/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Chandler IN 47610
indianalicensing.org
ID 8489535
LAST UPDATED 2024-03-30 23:39:09 UTC

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