Indiana
Professional Licensing Agency
Jennifer J. Campos
Radiology Provisional Permit
License number
XP500316
Date granted
08/04/2006
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Kingsford Heights IN 463460402
indianalicensing.org
ID 8492932
LAST UPDATED 2024-04-06 16:35:42 UTC
LAST UPDATED 2024-04-06 16:35:42 UTC
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