Indiana
Professional Licensing Agency
Francis Xavier Moffitt
Controlled Substance Registration - Physician
License number
01060633B
Date granted
04/29/2005
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
South Bend Clinic At Granger, 14950 State Rd. # 23, Granger IN 46530
indianalicensing.org
ID 5859482
LAST UPDATED 2024-04-27 01:28:00 UTC
LAST UPDATED 2024-04-27 01:28:00 UTC
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