License holder summary

Shane A. Brightwell-Thomas is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Shane A. Brightwell-Thomas is Greenwood IN 46143. This licensed professional license is not current. The license was granted 01/24/2014 and expired on 07/24/2014.

Indiana

Professional Licensing Agency

Shane A. Brightwell-Thomas
Radiology Provisional Permit
License number
XP505215
Date granted
01/24/2014
Date expires
07/24/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Greenwood IN 46143
indianalicensing.org
ID 29206595
LAST UPDATED 2024-03-17 23:53:49 UTC

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