License holder summary

Douglas William Moore is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Douglas William Moore is Van Wert Medical Services, 815 High Street, Suite E, Decatur IN 46733-2351. This licensed professional license is not current. The license was granted 11/12/2009 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Douglas William Moore
Controlled Substance Registration-Osteopathic Physician
License number
02003582B
Date granted
11/12/2009
Date expires
10/31/2013
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
Van Wert Medical Services, 815 High Street, Suite E, Decatur IN 46733-2351
indianalicensing.org
ID 5798026
LAST UPDATED 2024-02-05 03:27:23 UTC

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