License holder summary

Gladys A. Gonzalez is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Gladys A. Gonzalez is Fort Wayne IN 468350000. This licensed professional license is not current. The license was granted 09/02/2005 and expired on 12/31/2007.

Indiana

Professional Licensing Agency

Gladys A. Gonzalez
Radiology Provisional Permit
License number
XP500575
Date granted
09/02/2005
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fort Wayne IN 468350000
indianalicensing.org
ID 8490920
LAST UPDATED 2024-02-07 04:14:30 UTC

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