License holder summary

Gabrielle Nicole Ponciano is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Gabrielle Nicole Ponciano is Elkhart IN 465161730. This licensed professional license is not current. The license was granted 11/04/2005 and expired on 12/31/2007.

Indiana

Professional Licensing Agency

Gabrielle Nicole Ponciano
Radiology Provisional Permit
License number
XP500183
Date granted
11/04/2005
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Elkhart IN 465161730
indianalicensing.org
ID 8490395
LAST UPDATED 2024-04-23 22:01:27 UTC

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