Indiana
Professional Licensing Agency
Jasmine J. Long
Radiology Provisional Permit
License number
XP501369
Date granted
09/18/2008
Date expires
03/18/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Muncie IN 47302-2455
indianalicensing.org
ID 8494042
LAST UPDATED 2026-06-12 11:53:19 UTC
LAST UPDATED 2026-06-12 11:53:19 UTC
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