Indiana
Professional Licensing Agency
Jennifer M. Wiegmann
Radiology Provisional Permit
License number
XP502531
Date granted
05/05/2010
Date expires
11/05/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fort Wayne IN 46818-1487
indianalicensing.org
ID 8490946
LAST UPDATED 2024-03-16 02:34:34 UTC
LAST UPDATED 2024-03-16 02:34:34 UTC
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