Indiana
Professional Licensing Agency
Annette Valadez
Radiology Provisional Permit
License number
XP501204
Date granted
05/28/2008
Date expires
11/28/2008
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Portage IN 46368-3183
indianalicensing.org
ID 8494813
LAST UPDATED 2024-04-26 19:12:14 UTC
LAST UPDATED 2024-04-26 19:12:14 UTC
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