Indiana
Professional Licensing Agency
Jayavani Moodley
Controlled Substance Registration - Physician
License number
01072977B
Date granted
07/18/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Saint Joseph Regional Medical Ctr., 5215 Holy Cross PKWY - c/o human resources dept., Mishawaka IN 46545
indianalicensing.org
ID 5895163
LAST UPDATED 2026-05-09 23:20:48 UTC
LAST UPDATED 2026-05-09 23:20:48 UTC
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