Indiana
Professional Licensing Agency
Jennifer J. Fenstermaker
Radiology Provisional Permit
License number
XP502520
Date granted
05/03/2010
Date expires
11/03/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Huntertown IN 46748-9706
indianalicensing.org
ID 8492074
LAST UPDATED 2024-05-09 13:42:46 UTC
LAST UPDATED 2024-05-09 13:42:46 UTC
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