License holder summary

Shaleta A. Crockett is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Shaleta A. Crockett is Gary IN 46402-1516. This licensed professional license is not current. The license was granted 08/26/2011 and expired on 02/26/2012.

Indiana

Professional Licensing Agency

Shaleta A. Crockett
Radiology Provisional Permit
License number
XP503567
Date granted
08/26/2011
Date expires
02/26/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Gary IN 46402-1516
indianalicensing.org
ID 8491270
LAST UPDATED 2024-03-17 01:47:21 UTC

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