Indiana
Professional Licensing Agency
Erica A. DaSilva
Radiology Provisional Permit
License number
XP500843
Date granted
10/25/2007
Date expires
04/25/2008
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Portage IN 46368-1530
indianalicensing.org
ID 8494828
LAST UPDATED 2026-06-03 14:45:59 UTC
LAST UPDATED 2026-06-03 14:45:59 UTC
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