License holder summary

Tiffany R. Moore is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Tiffany R. Moore is Indianapolis IN 46235. This licensed professional license is not current. The license was granted 02/23/2011 and expired on 08/23/2011.

Indiana

Professional Licensing Agency

Tiffany R. Moore
Radiology Provisional Permit
License number
XP503202
Date granted
02/23/2011
Date expires
08/23/2011
Class
Radiology Provisional Permit
Status
Superceded
Address
Indianapolis IN 46235
indianalicensing.org
ID 8492688
LAST UPDATED 2024-04-12 01:07:16 UTC

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