Indiana
Professional Licensing Agency
Jennifer L. Perez
Radiology Provisional Permit
License number
XP503729
Date granted
11/09/2011
Date expires
05/09/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Muncie IN 47305-2349
indianalicensing.org
ID 8494043
LAST UPDATED 2024-04-09 13:15:24 UTC
LAST UPDATED 2024-04-09 13:15:24 UTC
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