Indiana
Professional Licensing Agency
Wendy C. Guzman
Radiology Provisional Permit
License number
XP505094
Date granted
11/15/2013
Date expires
05/15/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Camby IN 46113
indianalicensing.org
ID 29206054
LAST UPDATED 2024-04-17 19:24:55 UTC
LAST UPDATED 2024-04-17 19:24:55 UTC
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