License holder summary

Tanya Medina is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Tanya Medina is Indianapolis IN 46254. This licensed professional license is not current. The license was granted 06/07/2012 and expired on 12/07/2012.

Indiana

Professional Licensing Agency

Tanya Medina
Radiology Provisional Permit
License number
XP504112
Date granted
06/07/2012
Date expires
12/07/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 46254
indianalicensing.org
ID 8492661
LAST UPDATED 2024-03-19 18:24:10 UTC

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