Indiana
Professional Licensing Agency
Cassandra M. Dominguez
Radiology Provisional Permit
License number
XP503345
Date granted
04/27/2011
Date expires
10/27/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Mishawaka IN 46544-3449
indianalicensing.org
ID 8493806
LAST UPDATED 2024-03-03 00:56:41 UTC
LAST UPDATED 2024-03-03 00:56:41 UTC
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