Indiana
Professional Licensing Agency
Charles E Moon
Controlled Substance Registration - Physician
License number
01016381B
Date granted
02/28/1986
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
R R #17 BOX 41, BRAZIL IN 47834
indianalicensing.org
ID 5827553
LAST UPDATED 2024-02-18 16:15:37 UTC
LAST UPDATED 2024-02-18 16:15:37 UTC
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