License holder summary

ShriDonne Ruthann Benjamin is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for ShriDonne Ruthann Benjamin is Indianapolis IN 46256. This licensed professional license is not current. The license was granted 04/22/2014 and expired on 10/22/2014.

Indiana

Professional Licensing Agency

ShriDonne Ruthann Benjamin
Radiology Provisional Permit
License number
XP505490
Date granted
04/22/2014
Date expires
10/22/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 46256
indianalicensing.org
ID 29206841
LAST UPDATED 2024-04-19 20:54:02 UTC

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