Indiana
Professional Licensing Agency
Jena M. Shannon
Radiology Provisional Permit
License number
XP504265
Date granted
09/20/2012
Date expires
03/20/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Greenfield IN 46140
indianalicensing.org
ID 8491501
LAST UPDATED 2024-03-20 23:03:30 UTC
LAST UPDATED 2024-03-20 23:03:30 UTC
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