License holder summary

Tiffany R. Perez is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Tiffany R. Perez is Gary IN 46408-1835. This licensed professional license is not current. The license was granted 03/28/2008 and expired on 09/28/2008.

Indiana

Professional Licensing Agency

Tiffany R. Perez
Radiology Provisional Permit
License number
XP501047
Date granted
03/28/2008
Date expires
09/28/2008
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Gary IN 46408-1835
indianalicensing.org
ID 8491283
LAST UPDATED 2024-03-11 21:23:12 UTC

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