License holder summary

Shanon Renee Lacy is a Medical Residency Permit licensed to practice in Indiana. The address on file for Shanon Renee Lacy is Noblesville IN 46060. This licensed professional license is not current. The license was granted 06/19/2007 and expired on 06/30/2011.

Indiana

Professional Licensing Agency

Shanon Renee Lacy
Medical Residency Permit
License number
11013955A
Date granted
06/19/2007
Date expires
06/30/2011
Class
Medical Residency Permit
Status
Expired
Address
Noblesville IN 46060
indianalicensing.org
ID 5992891
LAST UPDATED 2024-05-01 13:42:40 UTC

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