Indiana
Professional Licensing Agency
Dora L. Puga
Radiology Provisional Permit
License number
XP501773
Date granted
05/01/2009
Date expires
11/01/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 46226-6324
indianalicensing.org
ID 8492286
LAST UPDATED 2026-05-30 11:31:48 UTC
LAST UPDATED 2026-05-30 11:31:48 UTC
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