Indiana
Professional Licensing Agency
Jaclyn T. Logan
Radiology Student Permit
License number
XS006962
Date granted
11/26/2013
Date expires
12/31/2016
Class
Radiology Student Permit
Status
Active
Address
Charlestown IN 47111
indianalicensing.org
ID 29208074
LAST UPDATED 2026-03-27 00:03:46 UTC
LAST UPDATED 2026-03-27 00:03:46 UTC
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