Edward Nathaniel Moore
Controlled Substance Registration - Physician
Indiana 01037835C Expired
This Indiana license was held by Edward Nathaniel Moore. The license is no longer active. It was granted on 08/23/1991 and expired on 06/30/1995
LICENSE DETAILS
- License Number: 01037835C
- Category: CSR-Physician
- Status: Expired
- Date Granted: 08/23/1991 (almost 34 years ago)
- Expiry Date: 06/30/1995 (almost 30 years ago)
LOCATIONS
A Address
RIVERSIDE CARDIOLOGY, HIGHWAY 64 WEST, OAKLAND CITY IN 47660