License holder summary

Scot Benton Moore is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Scot Benton Moore is 350 Landmark Avenue, Bloomington IN 47403. This licensed professional license is current. The license was granted 03/28/1996 and expired on 10/31/2015.

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

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