License holder summary

Katherine Moss Pedersen is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Katherine Moss Pedersen is St Vincent Physician Network, 10801 N Michigan Road Suite 100, Zionsville IN 46077. This licensed professional license is current. The license was granted 11/18/2009 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Katherine Moss Pedersen
Controlled Substance Registration - Physician
License number
01067517B
Date granted
11/18/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St Vincent Physician Network, 10801 N Michigan Road Suite 100, Zionsville IN 46077
indianalicensing.org
ID 5936896
LAST UPDATED 2024-04-22 15:35:45 UTC

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