Indiana
Professional Licensing Agency
Jacqueline S. Jobe
Radiology Provisional Permit
License number
XP500594
Date granted
09/16/2005
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 462033745
indianalicensing.org
ID 8492345
LAST UPDATED 2026-04-30 16:22:36 UTC
LAST UPDATED 2026-04-30 16:22:36 UTC
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