License holder summary

Moises Baskinas Domingo is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Moises Baskinas Domingo is 700 N. Burkhardt Drive, Evansville IN 47715. This licensed professional license is current. The license was granted 10/31/1984 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Moises Baskinas Domingo
Controlled Substance Registration - Physician
License number
01032966B
Date granted
10/31/1984
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
700 N. Burkhardt Drive, Evansville IN 47715
indianalicensing.org
ID 5850734
LAST UPDATED 2024-04-13 18:39:28 UTC

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