Indiana
Professional Licensing Agency
Lakeisha D. Jackson
Radiology Provisional Permit
License number
XP502930
Date granted
10/26/2010
Date expires
04/26/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
East Chicago IN 46312-1832
indianalicensing.org
ID 8490293
LAST UPDATED 2024-02-16 00:42:40 UTC
LAST UPDATED 2024-02-16 00:42:40 UTC
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