Indiana
Professional Licensing Agency
Jessica R. Mizell
Radiology Provisional Permit
License number
XP503874
Date granted
02/10/2012
Date expires
08/10/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Bloomington IN 47403
indianalicensing.org
ID 8489083
LAST UPDATED 2024-03-02 11:49:56 UTC
LAST UPDATED 2024-03-02 11:49:56 UTC
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