Indiana
Professional Licensing Agency
Katie N. Jimenez
Radiology Provisional Permit
License number
XP505769
Date granted
08/14/2014
Date expires
02/14/2015
Class
Radiology Provisional Permit
Status
Active
Address
Plymouth IN 46563
indianalicensing.org
ID 29207439
LAST UPDATED 2024-03-20 02:56:39 UTC
LAST UPDATED 2024-03-20 02:56:39 UTC
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