License holder summary

Anthony R. Cavazos is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Anthony R. Cavazos is Fort Wayne IN 46805-3337. This licensed professional license is not current. The license was granted 09/02/2005 and expired on 07/17/2014.

Indiana

Professional Licensing Agency

Anthony R. Cavazos
Radiology Provisional Permit
License number
XP500701
Date granted
09/02/2005
Date expires
07/17/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fort Wayne IN 46805-3337
indianalicensing.org
ID 8490857
LAST UPDATED 2024-02-15 02:58:12 UTC

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