Brent Allen Moore
Controlled Substance Registration - Dentist
Indiana 12010751B Active
This Indiana license is held by Brent Allen Moore. The license is currently active. It was granted on 03/20/2006 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12010751B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 03/20/2006 (about 19 years ago)
- Expiry Date: 03/01/2016 (about 9 years ago)
LOCATIONS
A Address
13580 E. 116th Street, Fishers IN 46037
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