Indiana
Professional Licensing Agency
Gloria Avitia-Beasley
Radiology Provisional Permit
License number
XP505680
Date granted
07/16/2014
Date expires
01/16/2015
Class
Radiology Provisional Permit
Status
Active
Address
Hammond IN 46327
indianalicensing.org
ID 29206625
LAST UPDATED 2024-03-28 11:00:09 UTC
LAST UPDATED 2024-03-28 11:00:09 UTC
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