License holder summary

Annette Marie Moore is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Annette Marie Moore is Howard Regional Health System, 3500 South LaFountain Street, Kokomo IN 46902. This licensed professional license is current. The license was granted 04/10/2006 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Annette Marie Moore
Controlled Substance Registration - Physician
License number
01056265B
Date granted
04/10/2006
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Howard Regional Health System, 3500 South LaFountain Street, Kokomo IN 46902
indianalicensing.org
ID 5875580
LAST UPDATED 2024-04-09 20:58:57 UTC

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