Indiana
Professional Licensing Agency
Wayne Edward Moore
Controlled Substance Registration - Physician
License number
01038003B
Date granted
11/20/1989
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
IU Health Moore Surgical, 901 Lincolnway, La Porte IN 46350
indianalicensing.org
ID 5878669
LAST UPDATED 2024-02-04 13:38:40 UTC
LAST UPDATED 2024-02-04 13:38:40 UTC
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