Indiana
Professional Licensing Agency
Yesenia Jaimes
Radiology Provisional Permit
License number
XP504734
Date granted
05/08/2013
Date expires
11/08/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Hammond IN 46323-3017
indianalicensing.org
ID 8491862
LAST UPDATED 2024-03-20 07:56:34 UTC
LAST UPDATED 2024-03-20 07:56:34 UTC
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