Indiana
Professional Licensing Agency
Joseph Moheban
Controlled Substance Registration - Physician
License number
01018813B
Date granted
09/02/1959
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1120 Spring Hill Road, Shelbyville IN 46176
indianalicensing.org
ID 5919261
LAST UPDATED 2024-04-08 21:16:58 UTC
LAST UPDATED 2024-04-08 21:16:58 UTC
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