Indiana
Professional Licensing Agency
Mark A. Moses
Radiology Provisional Permit
License number
XP501984
Date granted
09/25/2009
Date expires
03/31/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Henryville IN 47126-8638
indianalicensing.org
ID 8491946
LAST UPDATED 2026-06-20 16:58:40 UTC
LAST UPDATED 2026-06-20 16:58:40 UTC
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