Indiana
Professional Licensing Agency
MAURICE JAMES BLACK
Controlled Substance Registration - Physician
License number
01018304B
Date granted
04/30/1983
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Health Tracks Immediate Care Center, 8244 East US 36 Suite 1100, Avon IN 46123
indianalicensing.org
ID 5820354
LAST UPDATED 2024-02-11 13:42:32 UTC
LAST UPDATED 2024-02-11 13:42:32 UTC
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