License holder summary

Mo Nasha L. Fuller is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Mo Nasha L. Fuller is South Bend IN 46619. This licensed professional license is not current. The license was granted 02/25/2014 and expired on 08/25/2014.

Indiana

Professional Licensing Agency

Mo Nasha L. Fuller
Radiology Provisional Permit
License number
XP505347
Date granted
02/25/2014
Date expires
08/25/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
South Bend IN 46619
indianalicensing.org
ID 29207654
LAST UPDATED 2024-02-24 03:48:10 UTC

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