Indiana
Professional Licensing Agency
VICKY LYNN MOODY
Controlled Substance Registration-Osteopathic Physician
License number
02001019B
Date granted
06/07/1988
Date expires
06/30/1999
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
OAKLAWN CENTER, 2600 OAKLAND AVENUE, ELKHART IN 46517
indianalicensing.org
ID 5799320
LAST UPDATED 2024-03-22 19:48:58 UTC
LAST UPDATED 2024-03-22 19:48:58 UTC
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