Indiana
Professional Licensing Agency
Jacqueline N. Berry
Radiology Provisional Permit
License number
XP502244
Date granted
12/22/2009
Date expires
06/22/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
East Chicago IN 46312-3553
indianalicensing.org
ID 8490288
LAST UPDATED 2024-04-21 23:07:16 UTC
LAST UPDATED 2024-04-21 23:07:16 UTC
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