License holder summary

Jennifer L. Dickerson is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Jennifer L. Dickerson is Fairmount IN 46928-9705. This licensed professional license is not current. The license was granted 11/25/2008 and expired on 05/25/2009.

Indiana

Professional Licensing Agency

Jennifer L. Dickerson
Radiology Provisional Permit
License number
XP501505
Date granted
11/25/2008
Date expires
05/25/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fairmount IN 46928-9705
indianalicensing.org
ID 8490686
LAST UPDATED 2026-04-02 15:13:15 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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