Indiana
Professional Licensing Agency
Jack A. Moswin
Controlled Substance Registration - Physician
License number
01015789B
Date granted
09/13/1949
Date expires
02/28/1983
Class
Controlled Substance Registration - Physician
Status
Expired
Address
7863 BROADWAY, MERRILLVILLE IN 46410
indianalicensing.org
ID 5890458
LAST UPDATED 2024-02-20 16:25:23 UTC
LAST UPDATED 2024-02-20 16:25:23 UTC
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