MELLISA KIM MOORMAN
Apn Prescriptive Authority
Indiana 71002053A Expired
This Indiana license was held by MELLISA KIM MOORMAN. The license is no longer active. It was granted on 11/28/2005 and expired on 10/31/2009
LICENSE DETAILS
- License Number: 71002053A
- Category: APN Prescriptive Authority
- Status: Expired
- Date Granted: 11/28/2005 (almost 21 years ago)
- Expiry Date: 10/31/2009 (almost 17 years ago)
LOCATIONS
A Address
Fishers IN 46037