Indiana
Professional Licensing Agency
JENNIFER LOU LIEDEL
Medical Residency Permit
License number
11008451A
Date granted
07/01/1997
Date expires
06/30/1998
Class
Medical Residency Permit
Status
Expired
Address
CENTRALIA IL 62801
indianalicensing.org
ID 5973054
LAST UPDATED 2026-06-15 19:08:34 UTC
LAST UPDATED 2026-06-15 19:08:34 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.