Indiana
Professional Licensing Agency
Jennifer L. Wolford
Radiology Provisional Permit
License number
XP501061
Date granted
03/28/2008
Date expires
09/28/2008
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Lakeville IN 46536-9635
indianalicensing.org
ID 8493183
LAST UPDATED 2026-04-11 09:17:36 UTC
LAST UPDATED 2026-04-11 09:17:36 UTC
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