License holder summary

Mitzi M. Quintana is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Mitzi M. Quintana is Merrillville IN 46410-4435. This licensed professional license is not current. The license was granted 05/14/2008 and expired on 11/14/2008.

Indiana

Professional Licensing Agency

Mitzi M. Quintana
Radiology Provisional Permit
License number
XP501173
Date granted
05/14/2008
Date expires
11/14/2008
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Merrillville IN 46410-4435
indianalicensing.org
ID 8493670
LAST UPDATED 2024-04-13 18:33:02 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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