License holder summary

Jacki J. Wilk is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Jacki J. Wilk is New Carlisle IN 46552. This licensed professional license is not current. The license was granted 05/29/2012 and expired on 11/29/2012.

Indiana

Professional Licensing Agency

Jacki J. Wilk
Radiology Provisional Permit
License number
XP504094
Date granted
05/29/2012
Date expires
11/29/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
New Carlisle IN 46552
indianalicensing.org
ID 8494207
LAST UPDATED 2026-03-14 19:39:48 UTC

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