Indiana
Professional Licensing Agency
Charles M. Moon
Controlled Substance Registration - Physician
License number
01053751B
Date granted
06/03/2008
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Associates in Dermatology, 1919 State St., Ste 422, New Albany IN 47150
indianalicensing.org
ID 27716382
LAST UPDATED 2024-02-11 04:06:56 UTC
LAST UPDATED 2024-02-11 04:06:56 UTC
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