License holder summary

Adahisa Pena is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Adahisa Pena is Carmel IN 460325848. This licensed professional license is not current. The license was granted 03/24/2005 and expired on 12/31/2007.

Indiana

Professional Licensing Agency

Adahisa Pena
Radiology Provisional Permit
License number
XP500554
Date granted
03/24/2005
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Carmel IN 460325848
indianalicensing.org
ID 8489406
LAST UPDATED 2026-06-02 06:27:37 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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