Indiana
Professional Licensing Agency
John E. Moenning
Controlled Substance Registration - Dentist
License number
12008276E
Date granted
01/10/1997
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
10972 Allisonville Road, Ste. 100, Fishers IN 46038
indianalicensing.org
ID 5093460
LAST UPDATED 2024-01-20 14:14:17 UTC
LAST UPDATED 2024-01-20 14:14:17 UTC
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