License holder summary

Samantha Jane Smith is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Samantha Jane Smith is New Castle IN 47362. This licensed professional license is not current. The license was granted 12/15/2006 and expired on 12/31/2007.

Indiana

Professional Licensing Agency

Samantha Jane Smith
Radiology Provisional Permit
License number
XP500674
Date granted
12/15/2006
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
New Castle IN 47362
indianalicensing.org
ID 8494265
LAST UPDATED 2024-04-12 07:47:55 UTC

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