Indiana
Professional Licensing Agency
JANE SIEHL MOORE
Controlled Substance Registration-Osteopathic Physician
License number
02000991B
Date granted
08/21/1996
Date expires
06/30/1997
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
STATELINE FAMILY MEDICINE, 121 W LIBERTY AVENUE, WEST COLLEGE CORNER IN 47003
indianalicensing.org
ID 5815628
LAST UPDATED 2024-04-16 07:02:26 UTC
LAST UPDATED 2024-04-16 07:02:26 UTC
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