License holder summary

Desteni D. Ortiz-Ruvalcaba is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Desteni D. Ortiz-Ruvalcaba is South Bend IN 46614-1974. This licensed professional license is not current. The license was granted 07/07/2010 and expired on 01/07/2011.

Indiana

Professional Licensing Agency

Desteni D. Ortiz-Ruvalcaba
Radiology Provisional Permit
License number
XP502667
Date granted
07/07/2010
Date expires
01/07/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
South Bend IN 46614-1974
indianalicensing.org
ID 8495408
LAST UPDATED 2024-02-28 08:49:17 UTC

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