License holder summary

Nidia Fernanda Villalba Rodriguez is a Medical Residency Permit licensed to practice in Indiana. The address on file for Nidia Fernanda Villalba Rodriguez is Fort Wayne IN 46825. This licensed professional license is not current. The license was granted 07/25/2008 and expired on 06/30/2011.

Indiana

Professional Licensing Agency

Nidia Fernanda Villalba Rodriguez
Medical Residency Permit
License number
11014626A
Date granted
07/25/2008
Date expires
06/30/2011
Class
Medical Residency Permit
Status
Superceded
Address
Fort Wayne IN 46825
indianalicensing.org
ID 5979487
LAST UPDATED 2024-04-06 18:07:01 UTC

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