Indiana
Professional Licensing Agency
Fritz Moise
Controlled Substance Registration - Physician
License number
01045768B
Date granted
09/26/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
3118 E 10th Street, Jeffersonville IN 47130
indianalicensing.org
ID 5872822
LAST UPDATED 2024-03-06 17:43:53 UTC
LAST UPDATED 2024-03-06 17:43:53 UTC
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