License holder summary

Marisol Barba Carrillo is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Marisol Barba Carrillo is Ligonier IN 46767. This licensed professional license is not current. The license was granted 10/24/2012 and expired on 01/03/2014.

Indiana

Professional Licensing Agency

Marisol Barba Carrillo
Radiology Provisional Permit
License number
XP504365
Date granted
10/24/2012
Date expires
01/03/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Ligonier IN 46767
indianalicensing.org
ID 8493346
LAST UPDATED 2024-05-06 06:54:33 UTC

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