License holder summary

Jackie M. Lewis is a Radiology Student Permit licensed to practice in Indiana. The address on file for Jackie M. Lewis is Auburn IN 46706. This licensed professional license is current. The license was granted 09/03/2014 and expired on 01/31/2017.

Indiana

Professional Licensing Agency

Jackie M. Lewis
Radiology Student Permit
License number
XS007598
Date granted
09/03/2014
Date expires
01/31/2017
Class
Radiology Student Permit
Status
Active
Address
Auburn IN 46706
indianalicensing.org
ID 29207866
LAST UPDATED 2024-03-01 08:39:46 UTC

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