License holder summary

Jacqueline S. Harris is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Jacqueline S. Harris is Alexandria IN 46001. This licensed professional license is not current. The license was granted 06/03/2013 and expired on 12/03/2013.

Indiana

Professional Licensing Agency

Jacqueline S. Harris
Radiology Provisional Permit
License number
XP504797
Date granted
06/03/2013
Date expires
12/03/2013
Class
Radiology Provisional Permit
Status
Superceded
Address
Alexandria IN 46001
indianalicensing.org
ID 8488704
LAST UPDATED 2024-04-01 17:37:22 UTC

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