License holder summary

Shawn Maynard is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Shawn Maynard is Fort Wayne IN 46835. This licensed professional license is not current. The license was granted 01/17/2014 and expired on 07/17/2014.

Indiana

Professional Licensing Agency

Shawn Maynard
Radiology Provisional Permit
License number
XP505205
Date granted
01/17/2014
Date expires
07/17/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fort Wayne IN 46835
indianalicensing.org
ID 29206453
LAST UPDATED 2026-05-14 12:07:41 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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