Indiana
Professional Licensing Agency
Jessica L. Lewis
Radiology Provisional Permit
License number
XP503226
Date granted
03/02/2011
Date expires
09/02/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Mc Cordsville IN 46055-9585
indianalicensing.org
ID 8493591
LAST UPDATED 2024-03-25 09:08:56 UTC
LAST UPDATED 2024-03-25 09:08:56 UTC
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