License holder summary

Audrey B. Jackson is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Audrey B. Jackson is Hammond IN 46325. This licensed professional license is not current. The license was granted 11/16/2012 and expired on 05/16/2013.

Indiana

Professional Licensing Agency

Audrey B. Jackson
Radiology Provisional Permit
License number
XP504401
Date granted
11/16/2012
Date expires
05/16/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Hammond IN 46325
indianalicensing.org
ID 8491737
LAST UPDATED 2024-04-20 20:13:05 UTC

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