License holder summary

Jennifer R. Buchholz is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Jennifer R. Buchholz is Goshen IN 46526. This licensed professional license is not current. The license was granted 09/13/2011 and expired on 03/13/2012.

Indiana

Professional Licensing Agency

Jennifer R. Buchholz
Radiology Provisional Permit
License number
XP503606
Date granted
09/13/2011
Date expires
03/13/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Goshen IN 46526
indianalicensing.org
ID 8491359
LAST UPDATED 2024-02-22 21:44:51 UTC

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