Indiana
Professional Licensing Agency
Taylor L. Jessup
Radiology Provisional Permit
License number
XP504259
Date granted
09/20/2012
Date expires
03/20/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Pendleton IN 46064
indianalicensing.org
ID 8494717
LAST UPDATED 2024-03-06 05:08:14 UTC
LAST UPDATED 2024-03-06 05:08:14 UTC
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