License holder summary

Elizabeth Guequierre Moberly is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Elizabeth Guequierre Moberly is Witham Hospital, 2605 N. Lebanon Street, Lebanon IN 46052. This licensed professional license is not current. The license was granted 07/27/2006 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Elizabeth Guequierre Moberly
Controlled Substance Registration - Physician
License number
01062494B
Date granted
07/27/2006
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Witham Hospital, 2605 N. Lebanon Street, Lebanon IN 46052
indianalicensing.org
ID 5883734
LAST UPDATED 2024-05-15 16:43:39 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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