Indiana
Professional Licensing Agency
Molly K. Ayala
Radiology Provisional Permit
License number
XP505123
Date granted
12/10/2013
Date expires
06/10/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Gary IN 46409
indianalicensing.org
ID 29206504
LAST UPDATED 2024-03-10 19:32:37 UTC
LAST UPDATED 2024-03-10 19:32:37 UTC
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