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
LAST UPDATED 2024-04-14 14:06:21 UTC
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