Indiana
Professional Licensing Agency
Tibisay Pena
Radiology Student Permit
License number
XS003070
Date granted
07/29/2009
Date expires
11/30/2011
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
South Bend IN 46614
indianalicensing.org
ID 8503334
LAST UPDATED 2024-03-25 22:23:52 UTC
LAST UPDATED 2024-03-25 22:23:52 UTC
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