Indiana
Professional Licensing Agency
Jennifer M. Butler
Radiology Provisional Permit
License number
XP500213
Date granted
04/29/2005
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Bicknell IN 475128211
indianalicensing.org
ID 8489025
LAST UPDATED 2026-06-07 05:07:20 UTC
LAST UPDATED 2026-06-07 05:07:20 UTC
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