Indiana
Professional Licensing Agency
Edward Nathaniel Moore
Controlled Substance Registration - Physician
License number
01037835B
Date granted
08/18/1989
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
The Heart Group, 415 West Columbia Street, Evansville IN 47710
indianalicensing.org
ID 5849743
LAST UPDATED 2024-04-07 05:38:01 UTC
LAST UPDATED 2024-04-07 05:38:01 UTC
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