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 2026-06-07 02:17:33 UTC
LAST UPDATED 2026-06-07 02:17:33 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.