License holder summary

PAUL EVERETT MOODY JR is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for PAUL EVERETT MOODY JR is ONE CAYLOR NICKEL SQUARE, BLUFFTON IN 46714. This licensed professional license is not current. The license was granted 03/23/1995 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

PAUL EVERETT MOODY JR
Controlled Substance Registration - Physician
License number
01043598B
Date granted
03/23/1995
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ONE CAYLOR NICKEL SQUARE, BLUFFTON IN 46714
indianalicensing.org
ID 5826793
LAST UPDATED 2024-04-15 01:44:00 UTC

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