License holder summary

ROBERT ALLEN MOON is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for ROBERT ALLEN MOON is IU SCHL DENTISTRY, 3223 BROADWAY, GARY IN IN 46409. This licensed professional license is not current. The license was granted 02/28/1986 and expired on 02/28/1987.

Indiana

Professional Licensing Agency

ROBERT ALLEN MOON
Controlled Substance Registration - Dentist
License number
12005571B
Date granted
02/28/1986
Date expires
02/28/1987
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
IU SCHL DENTISTRY, 3223 BROADWAY, GARY IN IN 46409
indianalicensing.org
ID 5097634
LAST UPDATED 2024-03-24 10:49:46 UTC

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