License holder summary

GENE DOUGLAS MOORE is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for GENE DOUGLAS MOORE is 2700 SO. 25TH ST., TERRE HAUTE IN 47802. This licensed professional license is not current. The license was granted 02/28/1983 and expired on 02/28/1984.

Indiana

Professional Licensing Agency

GENE DOUGLAS MOORE
Controlled Substance Registration - Physician
License number
01020958B
Date granted
02/28/1983
Date expires
02/28/1984
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2700 SO. 25TH ST., TERRE HAUTE IN 47802
indianalicensing.org
ID 5925242
LAST UPDATED 2024-04-12 08:25:28 UTC

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