Indiana
Professional Licensing Agency
Jennifer V. Castle
Radiology Provisional Permit
License number
XP500567
Date granted
07/22/2005
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Mishawaka IN 46545
indianalicensing.org
ID 29207151
LAST UPDATED 2024-04-02 15:51:05 UTC
LAST UPDATED 2024-04-02 15:51:05 UTC
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