Indiana
Professional Licensing Agency
Jennifer L. Richards
Radiology Provisional Permit
License number
XP503725
Date granted
11/09/2011
Date expires
05/09/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Crown Point IN 46307
indianalicensing.org
ID 8490011
LAST UPDATED 2024-04-10 01:07:57 UTC
LAST UPDATED 2024-04-10 01:07:57 UTC
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