Indiana
Professional Licensing Agency
James S. Mooney
Controlled Substance Registration - Physician
License number
01030438B
Date granted
03/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1116 Millis Avenue, Suite 201B, Boonville IN 47601-2226
indianalicensing.org
ID 5827278
LAST UPDATED 2024-02-25 22:37:12 UTC
LAST UPDATED 2024-02-25 22:37:12 UTC
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