Indiana
Professional Licensing Agency
Scot Benton Moore
Controlled Substance Registration - Physician
License number
01044878B
Date granted
03/28/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
350 Landmark Avenue, Bloomington IN 47403
indianalicensing.org
ID 5825762
LAST UPDATED 2024-04-09 19:59:31 UTC
LAST UPDATED 2024-04-09 19:59:31 UTC
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