License holder summary

Jessica Gaines is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Jessica Gaines is Goshen IN 46528-6300. This licensed professional license is not current. The license was granted 02/15/2011 and expired on 08/15/2011.

Indiana

Professional Licensing Agency

Jessica Gaines
Radiology Provisional Permit
License number
XP503170
Date granted
02/15/2011
Date expires
08/15/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Goshen IN 46528-6300
indianalicensing.org
ID 8491362
LAST UPDATED 2024-05-11 22:34:51 UTC

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