Indiana
Professional Licensing Agency
Rosa M. Lopez
Radiology Provisional Permit
License number
XP500711
Date granted
07/16/2007
Date expires
06/28/2008
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Goshen IN 46528-5013
indianalicensing.org
ID 8491401
LAST UPDATED 2024-04-18 00:44:28 UTC
LAST UPDATED 2024-04-18 00:44:28 UTC
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