Indiana
Professional Licensing Agency
Jaclyn C. Ginder
Radiology Provisional Permit
License number
XP501857
Date granted
06/25/2009
Date expires
12/25/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Greenville IN 47124-9532
indianalicensing.org
ID 8491567
LAST UPDATED 2024-04-30 02:27:57 UTC
LAST UPDATED 2024-04-30 02:27:57 UTC
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