License holder summary

Madison A. Moore is a Radiology Student Permit licensed to practice in Indiana. The address on file for Madison A. Moore is Lebanon KY 40033-1934. This licensed professional license is not current. The license was granted 01/21/2011 and expired on 05/31/2013.

Indiana

Professional Licensing Agency

Madison A. Moore
Radiology Student Permit
License number
XS004570
Date granted
01/21/2011
Date expires
05/31/2013
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Lebanon KY 40033-1934
indianalicensing.org
ID 8501089
LAST UPDATED 2026-06-25 13:19:46 UTC

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