Indiana
Professional Licensing Agency
Marquita M. Jasper
Radiology Provisional Permit
License number
XP500577
Date granted
09/02/2005
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Lawrenceburg IN 470250000
indianalicensing.org
ID 8493246
LAST UPDATED 2026-05-18 04:04:07 UTC
LAST UPDATED 2026-05-18 04:04:07 UTC
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