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 2026-03-27 08:25:18 UTC
LAST UPDATED 2026-03-27 08:25:18 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.