Indiana
Professional Licensing Agency
Roy Jeffrey Moen
Controlled Substance Registration - Physician
License number
01074080B
Date granted
05/30/2014
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Community Howard Regional Health, 3500 S LaFountain Street, Kokomo IN 46902
indianalicensing.org
ID 27711014
LAST UPDATED 2024-02-29 10:46:15 UTC
LAST UPDATED 2024-02-29 10:46:15 UTC
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