Byron Patrick Moore
Controlled Substance Registration - Dentist
Indiana 12010628B Suspended
This Indiana license was held by Byron Patrick Moore. The license is no longer active. It was granted on 07/28/2004 and expired on 03/01/2012
LICENSE DETAILS
- License Number: 12010628B
- Category: CSR-Dentist
- Status: Suspended
- Date Granted: 07/28/2004 (almost 22 years ago)
- Expiry Date: 03/01/2012 (over 14 years ago)
LOCATIONS
A Address
Terry H. Vibbert, DDS, PC, 903 North Park Drive, Evansville IN 47710