Indiana
Professional Licensing Agency
Jamie L. Bennett
Radiology Provisional Permit
License number
XP504324
Date granted
10/04/2012
Date expires
04/04/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Connersville IN 47331
indianalicensing.org
ID 8489786
LAST UPDATED 2024-04-11 10:16:48 UTC
LAST UPDATED 2024-04-11 10:16:48 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.