Indiana
Professional Licensing Agency
Elizabeth Rubalcava
Radiology Provisional Permit
License number
XP504761
Date granted
05/16/2013
Date expires
11/16/2013
Class
Radiology Provisional Permit
Status
Superceded
Address
Greenwood IN 46142
indianalicensing.org
ID 8491587
LAST UPDATED 2026-05-05 11:03:39 UTC
LAST UPDATED 2026-05-05 11:03:39 UTC
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