License holder summary

Jacquelyn R. Wagner is a Radiologic Technologist licensed to practice in Indiana. The address on file for Jacquelyn R. Wagner is Valparaiso IN 46383. This licensed professional license is current. The license was granted 09/21/2012 and expired on 09/21/2016.

Indiana

Professional Licensing Agency

Jacquelyn R. Wagner
Radiologic Technologist
License number
XT020964
Date granted
09/21/2012
Date expires
09/21/2016
Class
Radiologic Technologist
Status
Active
Address
Valparaiso IN 46383
indianalicensing.org
ID 8479830
LAST UPDATED 2024-03-11 00:25:26 UTC

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