Indiana
Professional Licensing Agency
Janet Moy
Controlled Substance Registration-Osteopathic Physician
License number
02001714C
Date granted
05/21/2007
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
River Pointe Surgery Center, 500 Arcade Ave., Elkhart IN 46514
indianalicensing.org
ID 5801027
LAST UPDATED 2024-03-19 11:12:43 UTC
LAST UPDATED 2024-03-19 11:12:43 UTC
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