Indiana
Professional Licensing Agency
Jessica L. Moody
Radiology Provisional Permit
License number
XP502584
Date granted
06/02/2010
Date expires
12/02/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
New Albany IN 47150-9455
indianalicensing.org
ID 8494157
LAST UPDATED 2024-03-03 05:50:28 UTC
LAST UPDATED 2024-03-03 05:50:28 UTC
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