License holder summary

Veronica R. Mata is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Veronica R. Mata is Crown Point IN 46307-7679. This licensed professional license is not current. The license was granted 12/20/2010 and expired on 06/20/2011.

Indiana

Professional Licensing Agency

Veronica R. Mata
Radiology Provisional Permit
License number
XP503051
Date granted
12/20/2010
Date expires
06/20/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Crown Point IN 46307-7679
indianalicensing.org
ID 8490071
LAST UPDATED 2024-04-22 05:47:56 UTC

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