Indiana
Professional Licensing Agency
Angela L. Moxley
Radiology Provisional Permit
License number
XP503717
Date granted
11/02/2011
Date expires
12/30/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Lizton IN 46149
indianalicensing.org
ID 8493363
LAST UPDATED 2024-05-06 04:06:45 UTC
LAST UPDATED 2024-05-06 04:06:45 UTC
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