License holder summary

Rebecca A Fuentes is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Rebecca A Fuentes is Milford IN 46542. This licensed professional license is not current. The license was granted 11/13/2013 and expired on 05/13/2014.

Indiana

Professional Licensing Agency

Rebecca A Fuentes
Radiology Provisional Permit
License number
XP505093
Date granted
11/13/2013
Date expires
05/13/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Milford IN 46542
indianalicensing.org
ID 29207142
LAST UPDATED 2024-03-11 05:18:58 UTC

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