MIKAL M MOGA
Controlled Substance Registration-Osteopathic Physician
Indiana 02001253B Expired
This Indiana license was held by MIKAL M MOGA. The license is no longer active. It was granted on 07/25/1991 and expired on 06/30/2005
LICENSE DETAILS
- License Number: 02001253B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 07/25/1991 (almost 35 years ago)
- Expiry Date: 06/30/2005 (almost 21 years ago)
LOCATIONS
A Address
Mikal M Moga, DO, 2936 DEVON DRIVE, Fort Wayne IN 46815