Indiana
Professional Licensing Agency
Thomas O. Moore
Controlled Substance Registration - Physician
License number
01024899B
Date granted
09/08/1989
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
8803 North Meridian Street, Suite #100, Indianapolis IN 46260
indianalicensing.org
ID 5870921
LAST UPDATED 2024-04-08 17:47:19 UTC
LAST UPDATED 2024-04-08 17:47:19 UTC
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