License holder summary

Jennifer L. Goller is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Jennifer L. Goller is Jasper IN 475468769. This licensed professional license is not current. The license was granted 04/25/2007 and expired on 12/31/2007.

Indiana

Professional Licensing Agency

Jennifer L. Goller
Radiology Provisional Permit
License number
XP500409
Date granted
04/25/2007
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Jasper IN 475468769
indianalicensing.org
ID 8492766
LAST UPDATED 2024-05-01 13:59:18 UTC

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