License holder summary

Ann Margaret Moore is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Ann Margaret Moore is St Joe Medical Group, 800 Broadway, Suite 115, Fort Wayne IN 46802. This licensed professional license is current. The license was granted 04/18/2000 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Ann Margaret Moore
Controlled Substance Registration-Osteopathic Physician
License number
02002191B
Date granted
04/18/2000
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
St Joe Medical Group, 800 Broadway, Suite 115, Fort Wayne IN 46802
indianalicensing.org
ID 5800236
LAST UPDATED 2024-01-03 06:23:37 UTC

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