Indiana
Professional Licensing Agency
Cynthia Hernandez
Radiology Provisional Permit
License number
XP504832
Date granted
07/02/2013
Date expires
01/02/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Portage IN 46368
indianalicensing.org
ID 8494830
LAST UPDATED 2024-02-03 06:58:57 UTC
LAST UPDATED 2024-02-03 06:58:57 UTC
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