Indiana
Professional Licensing Agency
Kristen L. Moss
Radiology Provisional Permit
License number
XP501027
Date granted
03/07/2008
Date expires
09/07/2008
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Shelbyville IN 46176-2257
indianalicensing.org
ID 8495293
LAST UPDATED 2024-04-10 15:52:27 UTC
LAST UPDATED 2024-04-10 15:52:27 UTC
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