Indiana
Professional Licensing Agency
David B. Moore
Controlled Substance Registration - Dentist
License number
12010307B
Date granted
04/03/2001
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
210 W 7TH STREET, Connersville IN 47331
indianalicensing.org
ID 5088209
LAST UPDATED 2024-02-07 17:28:15 UTC
LAST UPDATED 2024-02-07 17:28:15 UTC
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