Russell Moore
Temporary Medical Doctor Permit
Indiana 99012005A Superceded
This Indiana license was held by Russell Moore. The license is no longer active. It was granted on 02/27/2004 and expired on 05/27/2004
LICENSE DETAILS
- License Number: 99012005A
- Category: Temporary MD Permit
- Status: Superceded
- Date Granted: 02/27/2004 (over 22 years ago)
- Expiry Date: 05/27/2004 (over 22 years ago)
LOCATIONS
A Address
Washington DC 20036