Indiana
Professional Licensing Agency
Patricia A. Moore, D.P.M.
Radiology - Radiation Facility Podiatric
License number
XF400159
Date granted
11/01/2004
Class
Radiology - Radiation Facility Podiatric
Status
Active
Address
52303 Emmons Road, South Bend IN 46637-4288
indianalicensing.org
ID 24947199
LAST UPDATED 2026-03-27 03:45:57 UTC
LAST UPDATED 2026-03-27 03:45:57 UTC
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