Nicole Marie Moore
Apn Prescriptive Authority
Indiana 71004050A Active
This Indiana license is held by Nicole Marie Moore. The license is currently active. It was granted on 07/25/2012 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 71004050A
- Category: APN Prescriptive Authority
- Status: Active
- Date Granted: 07/25/2012 (almost 14 years ago)
- Expiry Date: 10/31/2015 (over 10 years ago)
LOCATIONS
A Address
Borden IN 47106