Indiana
Professional Licensing Agency
Joyce A Mc Caughan Moore
Controlled Substance Registration - Physician
License number
01046547B
Date granted
05/21/1997
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
4408 NORTH MINTO DRIVE, MARION IN 46952
indianalicensing.org
ID 5888258
LAST UPDATED 2024-05-07 15:12:54 UTC
LAST UPDATED 2024-05-07 15:12:54 UTC
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