Indiana
Professional Licensing Agency
Timie D. Gomez
Radiology Provisional Permit
License number
XP501310
Date granted
08/28/2008
Date expires
02/28/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Hammond IN 46324-2226
indianalicensing.org
ID 8491857
LAST UPDATED 2024-04-21 10:51:14 UTC
LAST UPDATED 2024-04-21 10:51:14 UTC
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