Indiana
Professional Licensing Agency
Noel Timothy Moore
Controlled Substance Registration - Physician
License number
01029517B
Date granted
08/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Physicians Urgent Care, 920 East Coliseum Blvd, Fort Wayne IN 46805
indianalicensing.org
ID 5826776
LAST UPDATED 2024-04-21 00:31:35 UTC
LAST UPDATED 2024-04-21 00:31:35 UTC
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