License holder summary

Shelby Forsyth is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Shelby Forsyth is Indianapolis IN 46217. This licensed professional license is not current. The license was granted 02/12/2014 and expired on 08/12/2014.

Indiana

Professional Licensing Agency

Shelby Forsyth
Radiology Provisional Permit
License number
XP505320
Date granted
02/12/2014
Date expires
08/12/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 46217
indianalicensing.org
ID 29206840
LAST UPDATED 2024-03-31 09:30:13 UTC

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