License holder summary

Azucena Martinez is a Radiology Student Permit licensed to practice in Indiana. The address on file for Azucena Martinez is Portage IN 46368-5119. This licensed professional license is not current. The license was granted 05/04/2011 and expired on 11/30/2013.

Indiana

Professional Licensing Agency

Azucena Martinez
Radiology Student Permit
License number
XS004704
Date granted
05/04/2011
Date expires
11/30/2013
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Portage IN 46368-5119
indianalicensing.org
ID 8502680
LAST UPDATED 2024-02-02 18:56:38 UTC

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