Noel Timothy Moore
Controlled Substance Registration - Physician
Indiana 01029517B Active
This Indiana license is held by Noel Timothy Moore. The license is currently active. It was granted on 08/31/1986 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01029517B
- Category: CSR-Physician
- Status: Active
- Date Granted: 08/31/1986 (over 37 years ago)
- Expiry Date: 10/31/2015 (over 8 years ago)
LOCATIONS
A Address
Physicians Urgent Care, 920 East Coliseum Blvd, Fort Wayne IN 46805
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