License holder summary

Barbara Ruth Mociulski is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Barbara Ruth Mociulski is THE SOUTH BEND CLINIC, 211 N EDDY ST, SOUTH BEND IN 46634. This licensed professional license is not current. The license was granted 08/08/1985 and expired on 06/30/1991.

Indiana

Professional Licensing Agency

Barbara Ruth Mociulski
Controlled Substance Registration - Physician
License number
01031200B
Date granted
08/08/1985
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
THE SOUTH BEND CLINIC, 211 N EDDY ST, SOUTH BEND IN 46634
indianalicensing.org
ID 5920490
LAST UPDATED 2024-03-21 15:42:39 UTC

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