License holder summary

Tequila Page is a Radiology Student Permit licensed to practice in Indiana. The address on file for Tequila Page is Marion IN 46953-2006. This licensed professional license is not current. The license was granted 05/11/2007 and expired on 11/05/2008.

Indiana

Professional Licensing Agency

Tequila Page
Radiology Student Permit
License number
XS000091
Date granted
05/11/2007
Date expires
11/05/2008
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Marion IN 46953-2006
indianalicensing.org
ID 8501402
LAST UPDATED 2024-04-17 14:29:20 UTC

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