License holder summary

Jerry D. Lake is a Radiologic Technologist licensed to practice in Indiana. The address on file for Jerry D. Lake is Brownsburg IN 46112-8133.

Indiana

Professional Licensing Agency

Jerry D. Lake
Radiologic Technologist
License number
XT004184
Date expires
04/01/2011
Class
Radiologic Technologist
Status
Expired
Address
Brownsburg IN 46112-8133
indianalicensing.org
ID 8476893
LAST UPDATED 2024-04-14 05:32:32 UTC

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