Indiana
Professional Licensing Agency
Harry Albert Moffitt
Controlled Substance Registration-Osteopathic Physician
License number
02000940D
Date granted
05/09/1989
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
11360 Broadway, Crown Point IN 46307
indianalicensing.org
ID 5797633
LAST UPDATED 2024-01-20 07:50:09 UTC
LAST UPDATED 2024-01-20 07:50:09 UTC
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