Indiana
Professional Licensing Agency
Jennifer A. Mizell
Radiology Provisional Permit
License number
XP502147
Date granted
11/03/2009
Date expires
05/03/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Noblesville IN 46062-6068
indianalicensing.org
ID 8494418
LAST UPDATED 2024-02-23 09:57:15 UTC
LAST UPDATED 2024-02-23 09:57:15 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.