License holder summary

Thomas Paul Moore is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Thomas Paul Moore is 207 QUINCY STREET, WEST LAFAYETTE IN 47906. This licensed professional license is not current. The license was granted 03/31/1986 and expired on 06/30/1991.

Indiana

Professional Licensing Agency

Thomas Paul Moore
Controlled Substance Registration - Physician
License number
01031591B
Date granted
03/31/1986
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
207 QUINCY STREET, WEST LAFAYETTE IN 47906
indianalicensing.org
ID 5934619
LAST UPDATED 2024-03-07 13:59:31 UTC

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