CARROLL W MOORE
Health Facility Admin Board - Preceptor Eligible
Indiana 15000007A Expired
This Indiana license was held by CARROLL W MOORE. The license is no longer active. It was granted on 11/01/1978 and expired on 06/01/2002
LICENSE DETAILS
- License Number: 15000007A
- Category: Preceptor Eligible
- Status: Expired
- Date Granted: 11/01/1978 (over 46 years ago)
- Expiry Date: 06/01/2002 (almost 23 years ago)
LOCATIONS
A Address
BLOOMINGTON IN 47401