Indiana
Professional Licensing Agency
Michael V. Jacobi
Radiology Provisional Permit
License number
XP505235
Date granted
01/27/2014
Date expires
07/27/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
East Chicago IN 46312
indianalicensing.org
ID 29206274
LAST UPDATED 2026-06-09 01:28:44 UTC
LAST UPDATED 2026-06-09 01:28:44 UTC
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