License holder summary

Jenni L. Russell Bossom is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Jenni L. Russell Bossom is Indianapolis IN 46229-4971. This licensed professional license is not current. The license was granted 06/30/2008 and expired on 12/30/2008.

Indiana

Professional Licensing Agency

Jenni L. Russell Bossom
Radiology Provisional Permit
License number
XP501247
Date granted
06/30/2008
Date expires
12/30/2008
Class
Radiology Provisional Permit
Status
Superceded
Address
Indianapolis IN 46229-4971
indianalicensing.org
ID 8492359
LAST UPDATED 2024-03-27 15:15:00 UTC

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