License holder summary

Grace A. Rivera is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Grace A. Rivera is Brownsburg IN 46112. This licensed professional license is not current. The license was granted 11/05/2013 and expired on 05/05/2014.

Indiana

Professional Licensing Agency

Grace A. Rivera
Radiology Provisional Permit
License number
XP505087
Date granted
11/05/2013
Date expires
05/05/2014
Class
Radiology Provisional Permit
Status
Superceded
Address
Brownsburg IN 46112
indianalicensing.org
ID 12405548
LAST UPDATED 2024-04-24 22:49:56 UTC

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