License holder summary

Vernon John Moore, Jr is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Vernon John Moore, Jr is MIDWEST CENTER FOR YOUTH AND FAMILIES, 1012 WEST INDIANA STREET PO BOX 669, KOUTS IN 46347. This licensed professional license is not current. The license was granted 05/22/1997 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

Vernon John Moore, Jr
Controlled Substance Registration - Physician
License number
01046743B
Date granted
05/22/1997
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MIDWEST CENTER FOR YOUTH AND FAMILIES, 1012 WEST INDIANA STREET PO BOX 669, KOUTS IN 46347
indianalicensing.org
ID 5877608
LAST UPDATED 2024-04-25 08:43:40 UTC

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