Indiana
Professional Licensing Agency
Diana C. DeMercede
Radiology Provisional Permit
License number
XP503843
Date granted
02/01/2012
Date expires
08/01/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Portage IN 46368
indianalicensing.org
ID 8494826
LAST UPDATED 2024-03-13 09:20:59 UTC
LAST UPDATED 2024-03-13 09:20:59 UTC
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