License holder summary

Michele Consuelo Mendoza is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Michele Consuelo Mendoza is Indianapolis IN 46254. This licensed professional license is not current. The license was granted 12/15/2006 and expired on 12/31/2007.

Indiana

Professional Licensing Agency

Michele Consuelo Mendoza
Radiology Provisional Permit
License number
XP500661
Date granted
12/15/2006
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Superceded
Address
Indianapolis IN 46254
indianalicensing.org
ID 8492531
LAST UPDATED 2024-02-09 14:31:56 UTC

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