Indiana
Professional Licensing Agency
Richard Marc Moss
Controlled Substance Registration - Physician
License number
01039795B
Date granted
12/16/1991
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
721 W. 13th Street, Suite 208, Jasper IN 47546
indianalicensing.org
ID 5871998
LAST UPDATED 2026-07-25 17:17:40 UTC
LAST UPDATED 2026-07-25 17:17:40 UTC
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