Misty D. Lopez
Radiology Provisional Permit
Indiana XP503344 Superceded
This Indiana license was held by Misty D. Lopez. The license is no longer active. It was granted on 04/27/2011 and expired on 10/27/2011
LICENSE DETAILS
- License Number: XP503344
- Category: Radiology Provisional Permit
- Status: Superceded
- Date Granted: 04/27/2011 (about 14 years ago)
- Expiry Date: 10/27/2011 (over 13 years ago)
LOCATIONS
A Address
Fort Wayne IN 46835