License holder summary

Patricia A. Moore, D.P.M. is a Radiology - Radiation Facility Podiatric licensed to practice in Indiana. The address on file for Patricia A. Moore, D.P.M. is 52303 Emmons Road, South Bend IN 46637-4288. This licensed professional license is current. The license was granted 11/01/2004.

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 2024-02-17 21:25:31 UTC

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