License holder summary

DOMINIC JOSEPH MOFFO is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for DOMINIC JOSEPH MOFFO is MED GROUP OF MICHIGAN CITY, 1225 E COOLSPRING AVENUE, MICHIGAN CITY IN 46360. This licensed professional license is not current. The license was granted 03/31/1981 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

DOMINIC JOSEPH MOFFO
Controlled Substance Registration - Physician
License number
01029018B
Date granted
03/31/1981
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MED GROUP OF MICHIGAN CITY, 1225 E COOLSPRING AVENUE, MICHIGAN CITY IN 46360
indianalicensing.org
ID 5892457
LAST UPDATED 2024-05-05 18:43:51 UTC

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