License holder summary

Benjamin Jon Moreno is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Benjamin Jon Moreno is Radiology, Inc., 620 W Edison Road, Ste 110, Mishawaka IN 46545. This licensed professional license is current. The license was granted 08/05/2011 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Benjamin Jon Moreno
Controlled Substance Registration - Physician
License number
01070072B
Date granted
08/05/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Radiology, Inc., 620 W Edison Road, Ste 110, Mishawaka IN 46545
indianalicensing.org
ID 5894603
LAST UPDATED 2024-04-12 10:43:15 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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