License holder summary

Jacqueline V. Rodriquez is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Jacqueline V. Rodriquez is Elkhart IN 46514-9140. This licensed professional license is not current. The license was granted 06/30/2011 and expired on 12/30/2011.

Indiana

Professional Licensing Agency

Jacqueline V. Rodriquez
Radiology Provisional Permit
License number
XP503480
Date granted
06/30/2011
Date expires
12/30/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Elkhart IN 46514-9140
indianalicensing.org
ID 8490404
LAST UPDATED 2024-03-18 13:18:02 UTC

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