Wisconsin
Department of Safety and Professional Services
Provost, Janice E
Licensed Radiographer
License number
1711-142
Date granted
01/17/2012
Date expires
08/31/2014
Class
Licensed Radiographer
Status
Active
wisconsinlicensing.org
ID 13770317
LAST UPDATED 2026-03-26 14:10:28 UTC
LAST UPDATED 2026-03-26 14:10:28 UTC
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