Indiana
Professional Licensing Agency
Heather M. Moore
Radiology Provisional Permit
License number
XP504912
Date granted
08/26/2013
Date expires
02/26/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Brownstown IN 47220
indianalicensing.org
ID 8489305
LAST UPDATED 2024-03-26 09:59:57 UTC
LAST UPDATED 2024-03-26 09:59:57 UTC
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