Indiana
Professional Licensing Agency
Jeanie E. Pemberton
Radiology Provisional Permit
License number
XP503090
Date granted
01/21/2011
Date expires
07/21/2011
Class
Radiology Provisional Permit
Status
Superceded
Address
Indianapolis IN 46237
indianalicensing.org
ID 8492354
LAST UPDATED 2024-03-30 16:03:10 UTC
LAST UPDATED 2024-03-30 16:03:10 UTC
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