License holder summary

Jared Lee Moon is a Controlled Substance Registration - Podiatrist licensed to practice in Indiana. The address on file for Jared Lee Moon is 10607 Randolph, Crown Point IN 46307. This licensed professional license is current. The license was granted 09/11/2012 and expired on 06/30/2015.

Indiana

Professional Licensing Agency

Jared Lee Moon
Controlled Substance Registration - Podiatrist
License number
07001148B
Date granted
09/11/2012
Date expires
06/30/2015
Class
Controlled Substance Registration - Podiatrist
Status
Active
Address
10607 Randolph, Crown Point IN 46307
indianalicensing.org
ID 8430092
LAST UPDATED 2024-02-22 11:09:59 UTC

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