Indiana
Professional Licensing Agency
Melinda S. Moldero
Radiology Provisional Permit
License number
XP500346
Date granted
10/06/2006
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Scottsburg IN 471701558
indianalicensing.org
ID 8495230
LAST UPDATED 2024-05-11 22:27:55 UTC
LAST UPDATED 2024-05-11 22:27:55 UTC
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