Indiana
Professional Licensing Agency
CARL F MOATS
Controlled Substance Registration - Physician
License number
01012227B
Date granted
02/28/1986
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
3210 NORTH WASHINGTON ROAD, FORT WAYNE IN 46802
indianalicensing.org
ID 5853034
LAST UPDATED 2024-03-02 18:53:47 UTC
LAST UPDATED 2024-03-02 18:53:47 UTC
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