License holder summary

EDWIN W MOORE is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for EDWIN W MOORE is 4844 BROADWAY, GARY IN IN 46408. This licensed professional license is not current. The license was granted 08/31/1986 and expired on 06/30/1991.

Indiana

Professional Licensing Agency

EDWIN W MOORE
Controlled Substance Registration - Physician
License number
01031023B
Date granted
08/31/1986
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
4844 BROADWAY, GARY IN IN 46408
indianalicensing.org
ID 5856525
LAST UPDATED 2024-04-05 04:38:24 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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