Indiana
Professional Licensing Agency
Jamie Alexander
Radiology Provisional Permit
License number
XP503773
Date granted
12/05/2011
Date expires
06/05/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Bedford IN 47421
indianalicensing.org
ID 8488969
LAST UPDATED 2024-01-30 07:06:55 UTC
LAST UPDATED 2024-01-30 07:06:55 UTC
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