Indiana
Professional Licensing Agency
Genean M. Lopez
Radiology Provisional Permit
License number
XP503767
Date granted
12/05/2011
Date expires
06/05/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
East Chicago IN 46312-2231
indianalicensing.org
ID 8490277
LAST UPDATED 2024-02-20 09:24:17 UTC
LAST UPDATED 2024-02-20 09:24:17 UTC
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