Indiana
Professional Licensing Agency
Rebecca L. Jacks
Radiology Student Permit
License number
XS002830
Date granted
07/06/2009
Date expires
01/31/2010
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Logansport IN 46947-4216
indianalicensing.org
ID 8501231
LAST UPDATED 2024-03-26 21:36:12 UTC
LAST UPDATED 2024-03-26 21:36:12 UTC
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