Indiana
Professional Licensing Agency
Susan Moore Owen
Controlled Substance Registration - Physician
License number
01047489C
Date granted
05/28/2002
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Fayette Memorial Hospital - Medical Staff Services, 1941 Virginia Ave., Connersville IN 47331
indianalicensing.org
ID 5838338
LAST UPDATED 2024-02-22 03:09:04 UTC
LAST UPDATED 2024-02-22 03:09:04 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.