License holder summary

Nathan Thomas Moore is a Medical Residency Permit licensed to practice in Indiana. The address on file for Nathan Thomas Moore is Dayton OH 45405. This licensed professional license is not current. The license was granted 04/12/2011 and expired on 06/30/2012.

Indiana

Professional Licensing Agency

Nathan Thomas Moore
Medical Residency Permit
License number
11015882A
Date granted
04/12/2011
Date expires
06/30/2012
Class
Medical Residency Permit
Status
Expired
Address
Dayton OH 45405
indianalicensing.org
ID 5974946
LAST UPDATED 2024-03-04 12:41:23 UTC

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