License holder summary

Sephanie L. Wootton is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Sephanie L. Wootton is Mishawaka IN 46544-2667. This licensed professional license is not current. The license was granted 10/18/2010 and expired on 04/18/2011.

Indiana

Professional Licensing Agency

Sephanie L. Wootton
Radiology Provisional Permit
License number
XP502913
Date granted
10/18/2010
Date expires
04/18/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Mishawaka IN 46544-2667
indianalicensing.org
ID 8493861
LAST UPDATED 2024-02-23 20:32:00 UTC

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