License holder summary

Esther Bolanos is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Esther Bolanos is Fort Wayne IN 46818. This licensed professional license is current. The license was granted 07/28/2014 and expired on 01/28/2015.

Indiana

Professional Licensing Agency

Esther Bolanos
Radiology Provisional Permit
License number
XP505704
Date granted
07/28/2014
Date expires
01/28/2015
Class
Radiology Provisional Permit
Status
Active
Address
Fort Wayne IN 46818
indianalicensing.org
ID 29206417
LAST UPDATED 2024-03-05 11:18:20 UTC

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