Indiana
Professional Licensing Agency
Geneaster Ortiz
Radiology Student Permit
License number
XS003280
Date granted
08/27/2009
Date expires
11/30/2011
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Carmel IN 46032-1523
indianalicensing.org
ID 8497001
LAST UPDATED 2024-01-27 01:48:24 UTC
LAST UPDATED 2024-01-27 01:48:24 UTC
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