License holder summary

Stephenie L. Lane is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Stephenie L. Lane is South Bend IN 46628. This licensed professional license is not current. The license was granted 11/07/2013 and expired on 05/07/2014.

Indiana

Professional Licensing Agency

Stephenie L. Lane
Radiology Provisional Permit
License number
XP505089
Date granted
11/07/2013
Date expires
05/07/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
South Bend IN 46628
indianalicensing.org
ID 12409104
LAST UPDATED 2024-03-16 12:59:05 UTC

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