Indiana
Professional Licensing Agency
Jessica Reyes
Radiology Provisional Permit
License number
XP503974
Date granted
03/30/2012
Date expires
09/30/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Hammond IN 46324
indianalicensing.org
ID 8491771
LAST UPDATED 2026-06-02 23:49:11 UTC
LAST UPDATED 2026-06-02 23:49:11 UTC
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