License holder summary

Ava L. Jackson is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Ava L. Jackson is Gary IN 46404-3107. This licensed professional license is not current. The license was granted 01/21/2011 and expired on 07/21/2011.

Indiana

Professional Licensing Agency

Ava L. Jackson
Radiology Provisional Permit
License number
XP503096
Date granted
01/21/2011
Date expires
07/21/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Gary IN 46404-3107
indianalicensing.org
ID 8491200
LAST UPDATED 2024-04-11 03:57:09 UTC

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