Indiana
Professional Licensing Agency
Valerie C. Dominguez
Radiology Provisional Permit
License number
XP505171
Date granted
01/14/2014
Date expires
07/14/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Hobart IN 46342
indianalicensing.org
ID 29206722
LAST UPDATED 2024-04-07 10:54:37 UTC
LAST UPDATED 2024-04-07 10:54:37 UTC
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