Shawn Maynard
Radiology Provisional Permit
Indiana XP505205 Expired Non-Renewable
This Indiana license was held by Shawn Maynard. The license is no longer active. It was granted on 01/17/2014 and expired on 07/17/2014
LICENSE DETAILS
- License Number: XP505205
- Category: Radiology Provisional Permit
- Status: Expired Non-Renewable
- Date Granted: 01/17/2014 (over 11 years ago)
- Expiry Date: 07/17/2014 (almost 11 years ago)
LOCATIONS
A Address
Fort Wayne IN 46835