Indiana
Professional Licensing Agency
Juan E. Lopez-Roque
Radiology Provisional Permit
License number
XP500379
Date granted
10/06/2006
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 462286718
indianalicensing.org
ID 8492390
LAST UPDATED 2024-04-23 09:14:51 UTC
LAST UPDATED 2024-04-23 09:14:51 UTC
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