License holder summary

Desiree' M. Jacobs is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Desiree' M. Jacobs is Gary IN 46406-1873. This licensed professional license is not current. The license was granted 08/10/2010 and expired on 02/10/2011.

Indiana

Professional Licensing Agency

Desiree' M. Jacobs
Radiology Provisional Permit
License number
XP502711
Date granted
08/10/2010
Date expires
02/10/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Gary IN 46406-1873
indianalicensing.org
ID 8491213
LAST UPDATED 2024-04-20 19:40:55 UTC

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