Indiana
Professional Licensing Agency
Brian Gilbert Moore
Controlled Substance Registration - Physician
License number
01040502B
Date granted
07/01/1992
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
IU Health Moore Surgical, 901 Lincolnway, La Porte IN 46350
indianalicensing.org
ID 5877664
LAST UPDATED 2024-04-09 09:58:30 UTC
LAST UPDATED 2024-04-09 09:58:30 UTC
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