License holder summary

Jaimi L. Gustin is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Jaimi L. Gustin is Fort Wayne IN 46835-2063. This licensed professional license is not current. The license was granted 03/07/2011 and expired on 09/07/2011.

Indiana

Professional Licensing Agency

Jaimi L. Gustin
Radiology Provisional Permit
License number
XP503237
Date granted
03/07/2011
Date expires
09/07/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fort Wayne IN 46835-2063
indianalicensing.org
ID 8490931
LAST UPDATED 2024-02-04 02:27:03 UTC

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