License holder summary

John Mansfield Moore is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for John Mansfield Moore is 11030 Presbyterian Drive, Suite 1008, Indianapolis IN 46236. This licensed professional license is current. The license was granted 02/28/1984 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

John Mansfield Moore
Controlled Substance Registration - Physician
License number
01017467B
Date granted
02/28/1984
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
11030 Presbyterian Drive, Suite 1008, Indianapolis IN 46236
indianalicensing.org
ID 5869931
LAST UPDATED 2024-03-24 21:21:46 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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