Indiana
Professional Licensing Agency
Despina Moise
Controlled Substance Registration - Physician
License number
01067082B
Date granted
12/27/2010
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Four County Counseling Ctr., 1015 Michigan Avenue, Logansport IN 46947
indianalicensing.org
ID 5884915
LAST UPDATED 2024-05-03 18:37:40 UTC
LAST UPDATED 2024-05-03 18:37:40 UTC
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