License holder summary

Stacey Rodriguez is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Stacey Rodriguez is Hobart IN 46342. This licensed professional license is not current. The license was granted 10/07/2011 and expired on 04/07/2012.

Indiana

Professional Licensing Agency

Stacey Rodriguez
Radiology Provisional Permit
License number
XP503689
Date granted
10/07/2011
Date expires
04/07/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Hobart IN 46342
indianalicensing.org
ID 8492063
LAST UPDATED 2024-02-01 04:37:08 UTC

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