Indiana
Professional Licensing Agency
Evangelina Valencia
Radiology Provisional Permit
License number
XP503065
Date granted
12/28/2010
Date expires
06/28/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Merrillville IN 46410-3990
indianalicensing.org
ID 8493644
LAST UPDATED 2024-05-04 04:48:54 UTC
LAST UPDATED 2024-05-04 04:48:54 UTC
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