License holder summary

Taran M. Pena is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Taran M. Pena is Fort Wayne IN 46808. This licensed professional license is not current. The license was granted 04/19/2013 and expired on 10/19/2013.

Indiana

Professional Licensing Agency

Taran M. Pena
Radiology Provisional Permit
License number
XP504688
Date granted
04/19/2013
Date expires
10/19/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fort Wayne IN 46808
indianalicensing.org
ID 8491051
LAST UPDATED 2024-03-08 06:05:57 UTC

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