Indiana
Professional Licensing Agency
Richard L. Moothery
Radiology Student Permit
License number
XS005920
Date granted
08/13/2012
Date expires
11/30/2014
Class
Radiology Student Permit
Status
Active
Address
Terre Haute IN 47804
indianalicensing.org
ID 8503545
LAST UPDATED 2024-04-27 14:40:31 UTC
LAST UPDATED 2024-04-27 14:40:31 UTC
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