License holder summary

Susan M. Moore Riesbeck is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Susan M. Moore Riesbeck is 16492 Baywood Lane, Granger IN 46530. This licensed professional license is current. The license was granted 01/29/1992 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Susan M. Moore Riesbeck
Controlled Substance Registration-Osteopathic Physician
License number
02001290B
Date granted
01/29/1992
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
16492 Baywood Lane, Granger IN 46530
indianalicensing.org
ID 5801733
LAST UPDATED 2024-04-05 22:14:51 UTC

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