Indiana
Professional Licensing Agency
Annette Marie Moore
Controlled Substance Registration - Physician
License number
01056265B
Date granted
04/10/2006
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Howard Regional Health System, 3500 South LaFountain Street, Kokomo IN 46902
indianalicensing.org
ID 5875580
LAST UPDATED 2024-03-12 09:03:19 UTC
LAST UPDATED 2024-03-12 09:03:19 UTC
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