License holder summary

H. Carl Moultrie, II is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for H. Carl Moultrie, II is 9111 Broadway Suite# MM, Merrillville IN 46410. This licensed professional license is current. The license was granted 04/30/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

H. Carl Moultrie, II
Controlled Substance Registration - Physician
License number
01026965B
Date granted
04/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
9111 Broadway Suite# MM, Merrillville IN 46410
indianalicensing.org
ID 5890351
LAST UPDATED 2024-04-14 14:06:21 UTC

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