License holder summary

Stephanie Jane Jackson is a Medical Fellowship Permit licensed to practice in Indiana. The address on file for Stephanie Jane Jackson is Indianapolis IN 46240. This licensed professional license is not current. The license was granted 09/01/2011 and expired on 06/30/2012.

Indiana

Professional Licensing Agency

Stephanie Jane Jackson
Medical Fellowship Permit
License number
73000027A
Date granted
09/01/2011
Date expires
06/30/2012
Class
Medical Fellowship Permit
Status
Expired
Address
Indianapolis IN 46240
indianalicensing.org
ID 5962644
LAST UPDATED 2024-04-26 06:44:40 UTC

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