Indiana
Professional Licensing Agency
Brian Harold Moore
Physician
License number
01060196A
Date granted
02/07/2005
Date expires
10/31/2015
Class
Physician
Status
Active
Address
Bloomington IN 47403
indianalicensing.org
ID 6028802
LAST UPDATED 2024-03-14 12:34:34 UTC
LAST UPDATED 2024-03-14 12:34:34 UTC
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