License holder summary

Jalisa L. Farmer is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Jalisa L. Farmer is Michigan City IN 46360. This licensed professional license is not current. The license was granted 10/24/2012 and expired on 04/24/2013.

Indiana

Professional Licensing Agency

Jalisa L. Farmer
Radiology Provisional Permit
License number
XP504363
Date granted
10/24/2012
Date expires
04/24/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Michigan City IN 46360
indianalicensing.org
ID 8493717
LAST UPDATED 2026-06-05 06:48:43 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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