License holder summary

Sandee T. Bahena is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Sandee T. Bahena is Fort Wayne IN 46803-2953. This licensed professional license is not current. The license was granted 05/03/2010 and expired on 11/03/2010.

Indiana

Professional Licensing Agency

Sandee T. Bahena
Radiology Provisional Permit
License number
XP502521
Date granted
05/03/2010
Date expires
11/03/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fort Wayne IN 46803-2953
indianalicensing.org
ID 8491035
LAST UPDATED 2024-03-19 01:25:35 UTC

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