Indiana
Professional Licensing Agency
Vara A. Moran
Radiology Provisional Permit
License number
XP504135
Date granted
06/29/2012
Date expires
12/29/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Greenwood IN 46143
indianalicensing.org
ID 8491638
LAST UPDATED 2026-03-10 16:41:49 UTC
LAST UPDATED 2026-03-10 16:41:49 UTC
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