Indiana
Professional Licensing Agency
Amy Lynne Moon
Controlled Substance Registration - Physician
License number
01048948B
Date granted
02/28/2001
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Women's Health Alliance, 11725 Illinois St., Suite 350, Carmel IN 46032
indianalicensing.org
ID 5829831
LAST UPDATED 2024-01-27 14:47:00 UTC
LAST UPDATED 2024-01-27 14:47:00 UTC
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