Indiana
Professional Licensing Agency
Linda T. Martinez
Radiology Provisional Permit
License number
XP503781
Date granted
12/13/2011
Date expires
06/13/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Portage IN 46368
indianalicensing.org
ID 8494856
LAST UPDATED 2024-03-17 20:26:09 UTC
LAST UPDATED 2024-03-17 20:26:09 UTC
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