Indiana
Professional Licensing Agency
Suzanne Camille Moffit
Controlled Substance Registration-Osteopathic Physician
License number
02002195B
Date granted
06/26/2000
Date expires
06/30/2003
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
Suburban Radiological Consultants c/o Kate Grisham, 4801 W. 81st Street, Suite #108, Bloomington MN 55437
indianalicensing.org
ID 5795565
LAST UPDATED 2024-05-04 22:07:17 UTC
LAST UPDATED 2024-05-04 22:07:17 UTC
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