License holder summary

Stacey S. Rodriguez is a Radiology Student Permit licensed to practice in Indiana. The address on file for Stacey S. Rodriguez is Terre Haute IN 47805-9579. This licensed professional license is not current. The license was granted 05/29/2007 and expired on 11/30/2010.

Indiana

Professional Licensing Agency

Stacey S. Rodriguez
Radiology Student Permit
License number
XS000368
Date granted
05/29/2007
Date expires
11/30/2010
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Terre Haute IN 47805-9579
indianalicensing.org
ID 8503558
LAST UPDATED 2024-03-16 19:46:26 UTC

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