License holder summary

Destinie Gallardo is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Destinie Gallardo is Lowell IN 46356. This licensed professional license is current. The license was granted 07/23/2014 and expired on 01/23/2015.

Indiana

Professional Licensing Agency

Destinie Gallardo
Radiology Provisional Permit
License number
XP505695
Date granted
07/23/2014
Date expires
01/23/2015
Class
Radiology Provisional Permit
Status
Active
Address
Lowell IN 46356
indianalicensing.org
ID 29207042
LAST UPDATED 2024-04-24 08:17:09 UTC

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