Indiana
Professional Licensing Agency
Jennifer N. Lakes
Radiology Provisional Permit
License number
XP501946
Date granted
08/21/2009
Date expires
02/21/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Richmond IN 47374-9232
indianalicensing.org
ID 8494966
LAST UPDATED 2024-05-09 17:52:57 UTC
LAST UPDATED 2024-05-09 17:52:57 UTC
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