License holder summary

Samantha S. Berry is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Samantha S. Berry is New Albany IN 47150. This licensed professional license is not current. The license was granted 09/09/2011 and expired on 03/09/2012.

Indiana

Professional Licensing Agency

Samantha S. Berry
Radiology Provisional Permit
License number
XP503596
Date granted
09/09/2011
Date expires
03/09/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
New Albany IN 47150
indianalicensing.org
ID 8489179
LAST UPDATED 2024-03-17 15:23:51 UTC

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