Indiana
Professional Licensing Agency
Jessica L. Russell
Radiology Provisional Permit
License number
XP501855
Date granted
06/25/2009
Date expires
12/25/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Scottsburg IN 47170-1885
indianalicensing.org
ID 8495219
LAST UPDATED 2024-03-15 16:08:15 UTC
LAST UPDATED 2024-03-15 16:08:15 UTC
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