License holder summary

Jacqueline T. Wilson is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Jacqueline T. Wilson is Westville IN 46391-9497. This licensed professional license is not current. The license was granted 06/09/2010 and expired on 12/09/2010.

Indiana

Professional Licensing Agency

Jacqueline T. Wilson
Radiology Provisional Permit
License number
XP502598
Date granted
06/09/2010
Date expires
12/09/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Westville IN 46391-9497
indianalicensing.org
ID 8496038
LAST UPDATED 2024-02-11 19:18:22 UTC

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