Indiana
Professional Licensing Agency
Theresa L. Casillas
Radiology Student Permit
License number
XS004798
Date granted
06/07/2011
Date expires
11/30/2013
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Valparaiso IN 46385-9282
indianalicensing.org
ID 8503749
LAST UPDATED 2026-04-06 19:26:31 UTC
LAST UPDATED 2026-04-06 19:26:31 UTC
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