License holder summary

Jill Rena Carpenter is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Jill Rena Carpenter is West Terre Haute IN 478859436. This licensed professional license is not current. The license was granted 06/15/2007 and expired on 12/31/2007.

Indiana

Professional Licensing Agency

Jill Rena Carpenter
Radiology Provisional Permit
License number
XP500045
Date granted
06/15/2007
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
West Terre Haute IN 478859436
indianalicensing.org
ID 8496006
LAST UPDATED 2024-03-13 06:03:52 UTC

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