Indiana
Professional Licensing Agency
Kayte A. Jacobs
Radiology Provisional Permit
License number
XP501646
Date granted
02/06/2009
Date expires
08/06/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Daleville IN 47334-9716
indianalicensing.org
ID 8490083
LAST UPDATED 2024-04-13 20:18:29 UTC
LAST UPDATED 2024-04-13 20:18:29 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.