Indiana
Professional Licensing Agency
Myrna E. Alvarez
Radiology Provisional Permit
License number
XP500564
Date granted
07/22/2005
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fishers IN 460388496
indianalicensing.org
ID 8490777
LAST UPDATED 2024-03-24 02:14:06 UTC
LAST UPDATED 2024-03-24 02:14:06 UTC
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