License holder summary

Carolyn Anne Moore is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Carolyn Anne Moore is 136 East Cottom Avenue, New Albany IN 47150. This licensed professional license is current. The license was granted 07/29/2011 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Carolyn Anne Moore
Controlled Substance Registration-Physician Assistant
License number
10001163B
Date granted
07/29/2011
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
136 East Cottom Avenue, New Albany IN 47150
indianalicensing.org
ID 8388102
LAST UPDATED 2026-05-23 07:58:41 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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