Indiana
Professional Licensing Agency
Ashley S. Perez
Radiology Provisional Permit
License number
XP505143
Date granted
12/31/2013
Date expires
06/30/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Merrillville IN 46410
indianalicensing.org
ID 29207105
LAST UPDATED 2024-03-16 17:29:15 UTC
LAST UPDATED 2024-03-16 17:29:15 UTC
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