Indiana
Professional Licensing Agency
Mark Moore
Controlled Substance Registration - Physician
License number
01026320B
Date granted
09/30/1985
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
4554 SUMMERSONG ROAD, Zionsville IN 46077
indianalicensing.org
ID 5937023
LAST UPDATED 2024-03-27 02:29:28 UTC
LAST UPDATED 2024-03-27 02:29:28 UTC
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