Indiana
Professional Licensing Agency
Jessica V. Perez
Radiology Provisional Permit
License number
XP504766
Date granted
05/21/2013
Date expires
11/21/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Goshen IN 46526
indianalicensing.org
ID 8491368
LAST UPDATED 2024-04-11 15:13:18 UTC
LAST UPDATED 2024-04-11 15:13:18 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.