Indiana
Professional Licensing Agency
Angela D. Moats
Radiology Provisional Permit
License number
XP500257
Date granted
02/07/2006
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Hammond IN 463232162
indianalicensing.org
ID 8491732
LAST UPDATED 2024-04-14 15:40:44 UTC
LAST UPDATED 2024-04-14 15:40:44 UTC
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