Indiana
Professional Licensing Agency
Blake L. Moore
Radiologic Technologist
License number
XT019631
Date granted
06/16/2011
Date expires
06/16/2015
Class
Radiologic Technologist
Status
Active
Address
Terre Haute IN 47804
indianalicensing.org
ID 8487308
LAST UPDATED 2024-03-21 13:20:38 UTC
LAST UPDATED 2024-03-21 13:20:38 UTC
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