Indiana
Professional Licensing Agency
Jennifer K. Beasley
Radiology Provisional Permit
License number
XP501745
Date granted
04/14/2009
Date expires
10/14/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 46220-1955
indianalicensing.org
ID 8492365
LAST UPDATED 2024-05-15 01:32:44 UTC
LAST UPDATED 2024-05-15 01:32:44 UTC
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