Indiana
Professional Licensing Agency
Whitney Ann Moody
Controlled Substance Registration-Physician Assistant
License number
10001331B
Date granted
01/28/2013
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Community Hospital Anderson, 1515 N Madison Avenue, Anderson IN 46011
indianalicensing.org
ID 8385688
LAST UPDATED 2024-01-10 07:19:02 UTC
LAST UPDATED 2024-01-10 07:19:02 UTC
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