Jaci L. Faust
Radiology Provisional Permit
Indiana XP504523 Expired Non-Renewable
This Indiana license was held by Jaci L. Faust. The license is no longer active. It was granted on 02/12/2013 and expired on 08/12/2013
LICENSE DETAILS
- License Number: XP504523
- Category: Radiology Provisional Permit
- Status: Expired Non-Renewable
- Date Granted: 02/12/2013 (over 12 years ago)
- Expiry Date: 08/12/2013 (almost 12 years ago)
LOCATIONS
A Address
Bedford IN 47421