Indiana
Professional Licensing Agency
Gary R. Moore
Controlled Substance Registration - Physician
License number
01030659B
Date granted
03/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
533 W. Columbia Street, Evansville IN 47710
indianalicensing.org
ID 5849855
LAST UPDATED 2024-04-08 16:17:55 UTC
LAST UPDATED 2024-04-08 16:17:55 UTC
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