Indiana
Professional Licensing Agency
Crystal R. Jarvis
Radiology Provisional Permit
License number
XP500675
Date granted
12/15/2006
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Richmond IN 47374-5948
indianalicensing.org
ID 8494954
LAST UPDATED 2024-03-01 20:35:50 UTC
LAST UPDATED 2024-03-01 20:35:50 UTC
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