License holder summary

Rosa M. Lopez is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Rosa M. Lopez is Goshen IN 46528-5013. This licensed professional license is not current. The license was granted 07/16/2007 and expired on 06/28/2008.

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

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