License holder summary

Lauren P. Jackson is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Lauren P. Jackson is Gary IN 46408. This licensed professional license is not current. The license was granted 10/03/2013 and expired on 04/03/2014.

Indiana

Professional Licensing Agency

Lauren P. Jackson
Radiology Provisional Permit
License number
XP505028
Date granted
10/03/2013
Date expires
04/03/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Gary IN 46408
indianalicensing.org
ID 8491247
LAST UPDATED 2024-02-10 14:05:51 UTC

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