Indiana
Professional Licensing Agency
Cassidy Moris
Radiology Provisional Permit
License number
XP503817
Date granted
01/19/2012
Date expires
07/19/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Lafayette IN 47905
indianalicensing.org
ID 8493092
LAST UPDATED 2024-04-09 18:17:14 UTC
LAST UPDATED 2024-04-09 18:17:14 UTC
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