Indiana
Professional Licensing Agency
Gregory C. Moo
Controlled Substance Registration - Dentist
License number
12007496B
Date granted
06/30/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
214 East Eckman Street, South Bend IN 46614
indianalicensing.org
ID 5122984
LAST UPDATED 2024-02-05 02:08:28 UTC
LAST UPDATED 2024-02-05 02:08:28 UTC
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