License holder summary

Jacquelyn S. Clark is a Radiology Student Permit licensed to practice in Indiana. The address on file for Jacquelyn S. Clark is Pittsboro IN 46167. This licensed professional license is not current. The license was granted 07/18/2012 and expired on 01/31/2014.

Indiana

Professional Licensing Agency

Jacquelyn S. Clark
Radiology Student Permit
License number
XS005818
Date granted
07/18/2012
Date expires
01/31/2014
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Pittsboro IN 46167
indianalicensing.org
ID 8502586
LAST UPDATED 2024-04-05 01:53:11 UTC

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