License holder summary

Marisol Puente is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Marisol Puente is Hammond IN 46324-1942. This licensed professional license is not current. The license was granted 06/03/2010 and expired on 12/03/2010.

Indiana

Professional Licensing Agency

Marisol Puente
Radiology Provisional Permit
License number
XP502591
Date granted
06/03/2010
Date expires
12/03/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Hammond IN 46324-1942
indianalicensing.org
ID 8491809
LAST UPDATED 2024-04-21 10:33:53 UTC

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