Indiana
Professional Licensing Agency
Amanda J. Esparza
Radiology Provisional Permit
License number
XP500814
Date granted
09/27/2007
Date expires
03/27/2008
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Pennville IN 47369-9615
indianalicensing.org
ID 8494713
LAST UPDATED 2026-04-02 08:13:08 UTC
LAST UPDATED 2026-04-02 08:13:08 UTC
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