Indiana
Professional Licensing Agency
LILLIAN G MOULTON
Physician
License number
01013501A
Date granted
03/13/1940
Date expires
06/30/1987
Class
Physician
Status
Expired Non-Renewable
Address
TERRE HAUTE IN 47802
indianalicensing.org
ID 6105011
LAST UPDATED 2024-05-12 13:39:40 UTC
LAST UPDATED 2024-05-12 13:39:40 UTC
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