Indiana
Professional Licensing Agency
Freddy Valencia
Radiology Provisional Permit
License number
XP504811
Date granted
06/07/2013
Date expires
12/07/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Beech Grove IN 46107
indianalicensing.org
ID 8489010
LAST UPDATED 2024-04-05 02:16:03 UTC
LAST UPDATED 2024-04-05 02:16:03 UTC
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