Indiana
Professional Licensing Agency
Kathryn R. Rivas
Radiology Provisional Permit
License number
XP501472
Date granted
10/23/2008
Date expires
04/23/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
South Bend IN 46615
indianalicensing.org
ID 8495433
LAST UPDATED 2024-05-11 15:46:47 UTC
LAST UPDATED 2024-05-11 15:46:47 UTC
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