Jack C. Moore, II
Temporary Medical Doctor Permit
Indiana 99047044A Superceded
This Indiana license was held by Jack C. Moore, II. The license is no longer active. It was granted on 05/18/2011 and expired on 08/18/2011
LICENSE DETAILS
- License Number: 99047044A
- Category: Temporary MD Permit
- Status: Superceded
- Date Granted: 05/18/2011 (about 14 years ago)
- Expiry Date: 08/18/2011 (almost 14 years ago)
LOCATIONS
A Address
Taylorsville KY 40071