Indiana
Professional Licensing Agency
Zayana Y. Ortiz
Radiology Provisional Permit
License number
XP503148
Date granted
02/08/2011
Date expires
08/08/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Jeffersonville IN 47130-9617
indianalicensing.org
ID 8492894
LAST UPDATED 2026-03-15 23:49:02 UTC
LAST UPDATED 2026-03-15 23:49:02 UTC
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