Indiana
Professional Licensing Agency
Jamie D. Spaulding
Radiology Provisional Permit
License number
XP503802
Date granted
12/29/2011
Date expires
06/29/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Jeffersonville IN 47130
indianalicensing.org
ID 8492815
LAST UPDATED 2024-01-28 16:28:58 UTC
LAST UPDATED 2024-01-28 16:28:58 UTC
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