Indiana
Professional Licensing Agency
Beatriz Bustamante
Radiology Provisional Permit
License number
XP502161
Date granted
11/10/2009
Date expires
05/10/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Hammond IN 46327-1301
indianalicensing.org
ID 8491739
LAST UPDATED 2024-02-21 08:18:08 UTC
LAST UPDATED 2024-02-21 08:18:08 UTC
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