Indiana
Professional Licensing Agency
Sol Y. Benitez
Radiology Provisional Permit
License number
XP502925
Date granted
10/26/2010
Date expires
04/26/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Hammond IN 46323-2044
indianalicensing.org
ID 8491842
LAST UPDATED 2024-04-07 06:32:06 UTC
LAST UPDATED 2024-04-07 06:32:06 UTC
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