Indiana
Professional Licensing Agency
Julie Ann Mora
Controlled Substance Registration - Physician
License number
01069331B
Date granted
05/14/2012
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Hessville Family Care Center, 3432 169th Street, Hammond IN 46323
indianalicensing.org
ID 5864377
LAST UPDATED 2024-04-03 12:31:36 UTC
LAST UPDATED 2024-04-03 12:31:36 UTC
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