Indiana
Professional Licensing Agency
Mark D. Moyer
Radiology Provisional Permit
License number
XP503100
Date granted
01/21/2011
Date expires
07/21/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Goshen IN 46526-6992
indianalicensing.org
ID 8491396
LAST UPDATED 2024-04-30 08:13:04 UTC
LAST UPDATED 2024-04-30 08:13:04 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.