License holder summary

Stephanie S. Bontrager is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Stephanie S. Bontrager is Elkhart IN 46517. This licensed professional license is current. The license was granted 10/27/2014 and expired on 04/27/2015.

Indiana

Professional Licensing Agency

Stephanie S. Bontrager
Radiology Provisional Permit
License number
XP505982
Date granted
10/27/2014
Date expires
04/27/2015
Class
Radiology Provisional Permit
Status
Active
Address
Elkhart IN 46517
indianalicensing.org
ID 29206310
LAST UPDATED 2024-03-03 04:18:23 UTC

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