Indiana
Professional Licensing Agency
Jacqueline M. Reed
Radiology Provisional Permit
License number
XP501775
Date granted
05/01/2009
Date expires
11/01/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Martinsville IN 46151-2329
indianalicensing.org
ID 8493558
LAST UPDATED 2026-05-10 01:48:22 UTC
LAST UPDATED 2026-05-10 01:48:22 UTC
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