Indiana
Professional Licensing Agency
Maria Odelia Maldonado
Radiology Provisional Permit
License number
XP500535
Date granted
12/30/2004
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
South Bend IN 46619-3216
indianalicensing.org
ID 8495451
LAST UPDATED 2026-06-11 10:07:57 UTC
LAST UPDATED 2026-06-11 10:07:57 UTC
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