Indiana
Professional Licensing Agency
Jamie E. Teibel
Radiology Provisional Permit
License number
XP505482
Date granted
04/14/2014
Date expires
10/14/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Dyer IN 46311
indianalicensing.org
ID 29206262
LAST UPDATED 2024-02-08 06:41:42 UTC
LAST UPDATED 2024-02-08 06:41:42 UTC
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