Indiana
Professional Licensing Agency
Jessica L. Buchanan
Radiology Provisional Permit
License number
XP502435
Date granted
03/09/2010
Date expires
09/09/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Lake Village IN 46349-9396
indianalicensing.org
ID 8493166
LAST UPDATED 2024-04-25 04:00:05 UTC
LAST UPDATED 2024-04-25 04:00:05 UTC
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