License holder summary

Sarah L. Shake is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Sarah L. Shake is Terre Haute IN 47804. This licensed professional license is not current. The license was granted 05/07/2014 and expired on 11/07/2014.

Indiana

Professional Licensing Agency

Sarah L. Shake
Radiology Provisional Permit
License number
XP505534
Date granted
05/07/2014
Date expires
11/07/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Terre Haute IN 47804
indianalicensing.org
ID 29207704
LAST UPDATED 2024-04-12 08:26:05 UTC

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