Indiana
Professional Licensing Agency
Alexzandra P. Dziubls
Radiology Provisional Permit
License number
XP502227
Date granted
12/08/2009
Date expires
06/08/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Hobart IN 46342-5829
indianalicensing.org
ID 8492009
LAST UPDATED 2026-04-12 14:03:10 UTC
LAST UPDATED 2026-04-12 14:03:10 UTC
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