License holder summary

Brent Allen Moore is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Brent Allen Moore is 13580 E. 116th Street, Fishers IN 46037. This licensed professional license is current. The license was granted 03/20/2006 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Brent Allen Moore
Controlled Substance Registration - Dentist
License number
12010751B
Date granted
03/20/2006
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
13580 E. 116th Street, Fishers IN 46037
indianalicensing.org
ID 5093235
LAST UPDATED 2024-02-24 10:34:44 UTC

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