Indiana
Professional Licensing Agency
Jillian E. Kominkiewicz
Radiology Provisional Permit
License number
XP505345
Date granted
02/25/2014
Date expires
08/25/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Elkhart IN 46514
indianalicensing.org
ID 29206296
LAST UPDATED 2024-04-02 00:44:13 UTC
LAST UPDATED 2024-04-02 00:44:13 UTC
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