License holder summary

Samantha J. Jackman is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Samantha J. Jackman is Jeffersonville IN 47130-6860. This licensed professional license is not current. The license was granted 03/18/2009 and expired on 09/18/2009.

Indiana

Professional Licensing Agency

Samantha J. Jackman
Radiology Provisional Permit
License number
XP501704
Date granted
03/18/2009
Date expires
09/18/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Jeffersonville IN 47130-6860
indianalicensing.org
ID 8492868
LAST UPDATED 2024-02-28 17:16:08 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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