Indiana
Professional Licensing Agency
Jenice E. Lewis
Radiology Provisional Permit
License number
XP500061
Date granted
06/15/2007
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 462083917
indianalicensing.org
ID 8492357
LAST UPDATED 2024-03-28 08:31:32 UTC
LAST UPDATED 2024-03-28 08:31:32 UTC
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