License holder summary

Aholibama Manriquez is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Aholibama Manriquez is South Bend IN 46619-2856. This licensed professional license is not current. The license was granted 10/03/2007 and expired on 04/03/2008.

Indiana

Professional Licensing Agency

Aholibama Manriquez
Radiology Provisional Permit
License number
XP500821
Date granted
10/03/2007
Date expires
04/03/2008
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
South Bend IN 46619-2856
indianalicensing.org
ID 8495366
LAST UPDATED 2024-02-14 02:56:39 UTC

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