Indiana
Professional Licensing Agency
Moya Ishola Martin
Controlled Substance Registration-Osteopathic Physician
License number
02004110B
Date granted
10/30/2012
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
301 Henry Street, North Vernon IN 47265
indianalicensing.org
ID 5810944
LAST UPDATED 2024-03-22 15:55:45 UTC
LAST UPDATED 2024-03-22 15:55:45 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.