Indiana
Professional Licensing Agency
Anny D. Ortega
Radiology Provisional Permit
License number
XP501254
Date granted
06/30/2008
Date expires
12/30/2008
Class
Radiology Provisional Permit
Status
Superceded
Address
Indianapolis IN 46234-9129
indianalicensing.org
ID 8492146
LAST UPDATED 2026-04-15 04:14:11 UTC
LAST UPDATED 2026-04-15 04:14:11 UTC
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