License holder summary

Jessica R. Ellis is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Jessica R. Ellis is Chandler IN 47610. This licensed professional license is current. The license was granted 10/22/2014 and expired on 04/22/2015.

Indiana

Professional Licensing Agency

Jessica R. Ellis
Radiology Provisional Permit
License number
XP505970
Date granted
10/22/2014
Date expires
04/22/2015
Class
Radiology Provisional Permit
Status
Active
Address
Chandler IN 47610
indianalicensing.org
ID 29206085
LAST UPDATED 2024-01-30 21:09:46 UTC

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