Indiana
Professional Licensing Agency
Vicki L. Santiago
Radiology Provisional Permit
License number
XP500094
Date granted
06/22/2007
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 462500625
indianalicensing.org
ID 8492708
LAST UPDATED 2024-03-25 04:19:49 UTC
LAST UPDATED 2024-03-25 04:19:49 UTC
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