Indiana
Professional Licensing Agency
Kelly J. Moriarty
Radiology Provisional Permit
License number
XP504406
Date granted
11/16/2012
Date expires
05/16/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Highland IN 46322
indianalicensing.org
ID 8491983
LAST UPDATED 2024-05-02 05:45:48 UTC
LAST UPDATED 2024-05-02 05:45:48 UTC
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