License holder summary

Jack Conrad Moore is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jack Conrad Moore is 8307 Ashley Avenue, Bloomington IN 47401. This licensed professional license is current. The license was granted 02/28/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Jack Conrad Moore
Controlled Substance Registration - Physician
License number
01017466B
Date granted
02/28/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
8307 Ashley Avenue, Bloomington IN 47401
indianalicensing.org
ID 5824562
LAST UPDATED 2024-04-09 10:24:37 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

Reviews

Are you familiar with Jack Conrad Moore's work? Add a comment below. You can write anonymously and without having to create an account.

Similar names
Trending