Indiana
Professional Licensing Agency
Heather Maldonado
Radiology Provisional Permit
License number
XP504757
Date granted
05/16/2013
Date expires
11/16/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Corydon IN 47112
indianalicensing.org
ID 8489868
LAST UPDATED 2026-06-09 20:58:52 UTC
LAST UPDATED 2026-06-09 20:58:52 UTC
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