License holder summary

Rebecca N. Jacks is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Rebecca N. Jacks is Rockville IN 47872-0091. This licensed professional license is not current. The license was granted 03/11/2011 and expired on 09/11/2011.

Indiana

Professional Licensing Agency

Rebecca N. Jacks
Radiology Provisional Permit
License number
XP503256
Date granted
03/11/2011
Date expires
09/11/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Rockville IN 47872-0091
indianalicensing.org
ID 8495024
LAST UPDATED 2026-03-23 04:21:15 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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