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
LAST UPDATED 2024-03-26 14:36:19 UTC
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