License holder summary

Theresa R. Smith is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Theresa R. Smith is Indianapolis IN 46240. This licensed professional license is not current. The license was granted 07/20/2009 and expired on 01/20/2010.

Indiana

Professional Licensing Agency

Theresa R. Smith
Radiology Provisional Permit
License number
XP501894
Date granted
07/20/2009
Date expires
01/20/2010
Class
Radiology Provisional Permit
Status
Superceded
Address
Indianapolis IN 46240
indianalicensing.org
ID 8492679
LAST UPDATED 2024-05-04 17:46:40 UTC

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