License holder summary

Shawna R. Montgomery is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Shawna R. Montgomery is Muncie IN 47304-8882. This licensed professional license is not current. The license was granted 05/15/2009 and expired on 11/15/2009.

Indiana

Professional Licensing Agency

Shawna R. Montgomery
Radiology Provisional Permit
License number
XP501803
Date granted
05/15/2009
Date expires
11/15/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Muncie IN 47304-8882
indianalicensing.org
ID 8494073
LAST UPDATED 2024-04-20 08:54:50 UTC

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