Indiana
Professional Licensing Agency
Stephanie N. Moore
Radiology Provisional Permit
License number
XP501365
Date granted
09/18/2008
Date expires
03/18/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Shelbyville IN 46176
indianalicensing.org
ID 8495302
LAST UPDATED 2024-04-12 10:59:49 UTC
LAST UPDATED 2024-04-12 10:59:49 UTC
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