License holder summary

Brooke M. Moffitt is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Brooke M. Moffitt is Plainfield IN 46168-8210. This licensed professional license is not current. The license was granted 03/29/2010 and expired on 09/29/2010.

Indiana

Professional Licensing Agency

Brooke M. Moffitt
Radiology Provisional Permit
License number
XP502470
Date granted
03/29/2010
Date expires
09/29/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Plainfield IN 46168-8210
indianalicensing.org
ID 8494750
LAST UPDATED 2026-05-26 12:17:27 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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