License holder summary

John Nicholas Moustoukas is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for John Nicholas Moustoukas is 4321 FIR ST, East Chicago IN 46312. This licensed professional license is current. The license was granted 11/18/2013 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

John Nicholas Moustoukas
Controlled Substance Registration - Physician
License number
01073262B
Date granted
11/18/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
4321 FIR ST, East Chicago IN 46312
indianalicensing.org
ID 27703707
LAST UPDATED 2024-03-26 14:36:19 UTC

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