Indiana
Professional Licensing Agency
Brent Allen Moore
Controlled Substance Registration - Dentist
License number
12010751B
Date granted
03/20/2006
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
13580 E. 116th Street, Fishers IN 46037
indianalicensing.org
ID 5093235
LAST UPDATED 2024-04-06 06:35:35 UTC
LAST UPDATED 2024-04-06 06:35:35 UTC
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