Indiana
Professional Licensing Agency
Elizabeth S. Casiano
Radiology Provisional Permit
License number
XP504924
Date granted
08/26/2013
Date expires
02/26/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fort Wayne IN 46825
indianalicensing.org
ID 8490906
LAST UPDATED 2024-04-20 06:52:28 UTC
LAST UPDATED 2024-04-20 06:52:28 UTC
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