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 2026-05-23 23:08:09 UTC
LAST UPDATED 2026-05-23 23:08:09 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.