Indiana
Professional Licensing Agency
Mariana Melgoza
Radiology Provisional Permit
License number
XP505570
Date granted
05/29/2014
Date expires
11/29/2014
Class
Radiology Provisional Permit
Status
Active
Address
Hammond IN 46324
indianalicensing.org
ID 29206633
LAST UPDATED 2024-04-08 05:11:25 UTC
LAST UPDATED 2024-04-08 05:11:25 UTC
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