Indiana
Professional Licensing Agency
John F. Moore
Controlled Substance Registration - Dentist
License number
12010625B
Date granted
07/13/2004
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
275 U.S. Rte 30, Ste #200, Dyer IN 46311
indianalicensing.org
ID 5090029
LAST UPDATED 2024-04-11 13:16:05 UTC
LAST UPDATED 2024-04-11 13:16:05 UTC
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