License holder summary

Jessica A. Clark is a Radiology Student Permit licensed to practice in Indiana. The address on file for Jessica A. Clark is Fort Wayne IN 46825. This licensed professional license is not current. The license was granted 07/24/2012 and expired on 11/30/2014.

Indiana

Professional Licensing Agency

Jessica A. Clark
Radiology Student Permit
License number
XS005839
Date granted
07/24/2012
Date expires
11/30/2014
Class
Radiology Student Permit
Status
Superceded
Address
Fort Wayne IN 46825
indianalicensing.org
ID 8498586
LAST UPDATED 2024-01-10 07:48:17 UTC

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