Indiana
Professional Licensing Agency
Silvia Pimentel
Radiology Provisional Permit
License number
XP502455
Date granted
03/19/2010
Date expires
09/19/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Hammond IN 46323-1166
indianalicensing.org
ID 8491835
LAST UPDATED 2024-05-03 07:14:09 UTC
LAST UPDATED 2024-05-03 07:14:09 UTC
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