License holder summary

Jaclyn Faye Brown is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Jaclyn Faye Brown is Middlebury IN 465400000. This licensed professional license is not current. The license was granted 03/10/2005 and expired on 12/31/2007.

Indiana

Professional Licensing Agency

Jaclyn Faye Brown
Radiology Provisional Permit
License number
XP500550
Date granted
03/10/2005
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Middlebury IN 465400000
indianalicensing.org
ID 8493738
LAST UPDATED 2024-04-11 12:52:26 UTC

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