Indiana
Professional Licensing Agency
Alexis A. Plasencia
Radiology Provisional Permit
License number
XP504233
Date granted
09/06/2012
Date expires
03/06/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Schererville IN 46375
indianalicensing.org
ID 8495178
LAST UPDATED 2024-04-18 17:26:28 UTC
LAST UPDATED 2024-04-18 17:26:28 UTC
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