License holder summary

Gily N. Martinez is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Gily N. Martinez is Fort Wayne IN 468071748. This licensed professional license is not current. The license was granted 03/10/2005 and expired on 12/31/2007.

Indiana

Professional Licensing Agency

Gily N. Martinez
Radiology Provisional Permit
License number
XP500548
Date granted
03/10/2005
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fort Wayne IN 468071748
indianalicensing.org
ID 8490919
LAST UPDATED 2024-03-16 17:09:36 UTC

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