License holder summary

JENNIFER LOU LIEDEL is a Medical Residency Permit licensed to practice in Indiana. The address on file for JENNIFER LOU LIEDEL is CENTRALIA IL 62801. This licensed professional license is not current. The license was granted 07/01/1997 and expired on 06/30/1998.

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

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