License holder summary

Leslie Ann Pena is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Leslie Ann Pena is Indianapolis IN 462501039. This licensed professional license is not current. The license was granted 12/15/2006 and expired on 12/31/2007.

Indiana

Professional Licensing Agency

Leslie Ann Pena
Radiology Provisional Permit
License number
XP500669
Date granted
12/15/2006
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 462501039
indianalicensing.org
ID 8492481
LAST UPDATED 2026-06-01 18:06:32 UTC

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