License holder summary

Mariana Melgoza is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Mariana Melgoza is Hammond IN 46324. This licensed professional license is current. The license was granted 05/29/2014 and expired on 11/29/2014.

Indiana

Professional Licensing Agency

Mariana Melgoza
Radiology Provisional Permit
License number
XP505570
Date granted
05/29/2014
Date expires
11/29/2014
Class
Radiology Provisional Permit
Status
Active
Address
Hammond IN 46324
indianalicensing.org
ID 29206633
LAST UPDATED 2024-02-05 07:18:32 UTC

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