Indiana
Professional Licensing Agency
Shawn L. Sullivan
Radiology Provisional Permit
License number
XP505042
Date granted
10/07/2013
Date expires
04/07/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Terre Haute IN 47803
indianalicensing.org
ID 8492625
LAST UPDATED 2024-04-04 07:45:56 UTC
LAST UPDATED 2024-04-04 07:45:56 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.