Indiana
Professional Licensing Agency
Thomas James Moore
Controlled Substance Registration - Physician
License number
01027127B
Date granted
12/31/1984
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Attn: Sally, 99 East Carmel Drive, Suite E, Carmel IN 46032
indianalicensing.org
ID 5832156
LAST UPDATED 2024-02-08 02:43:45 UTC
LAST UPDATED 2024-02-08 02:43:45 UTC
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