Indiana
Professional Licensing Agency
Berenise M. Marrufo
Radiology Provisional Permit
License number
XP502562
Date granted
05/19/2010
Date expires
11/19/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 46224-1101
indianalicensing.org
ID 8492175
LAST UPDATED 2026-06-20 04:14:13 UTC
LAST UPDATED 2026-06-20 04:14:13 UTC
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