Indiana
Professional Licensing Agency
Karen A. Trevino
Radiology Provisional Permit
License number
XP502436
Date granted
03/09/2010
Date expires
09/09/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Valparaiso IN 46383-2686
indianalicensing.org
ID 8495803
LAST UPDATED 2024-02-26 20:16:26 UTC
LAST UPDATED 2024-02-26 20:16:26 UTC
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