Indiana
Professional Licensing Agency
Adolfo A. Vazquez
Radiology Provisional Permit
License number
XP504684
Date granted
04/19/2013
Date expires
10/19/2013
Class
Radiology Provisional Permit
Status
Superceded
Address
Goshen IN 46526
indianalicensing.org
ID 8491345
LAST UPDATED 2026-06-19 15:35:32 UTC
LAST UPDATED 2026-06-19 15:35:32 UTC
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