Indiana
Professional Licensing Agency
Rodrigo Moreno
Controlled Substance Registration - Physician
License number
01058351B
Date granted
11/06/2003
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
KKA Surgery Center, 3605 Northgate Court, Suite 101, New Albany IN 47150
indianalicensing.org
ID 5903692
LAST UPDATED 2024-03-10 23:26:07 UTC
LAST UPDATED 2024-03-10 23:26:07 UTC
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