Thomas James Moore
Controlled Substance Registration - Physician
Indiana 01033158B Suspended
This Indiana license was held by Thomas James Moore. The license is no longer active. It was granted on 06/30/1986 and expired on 06/30/1987
LICENSE DETAILS
- License Number: 01033158B
- Category: CSR-Physician
- Status: Suspended
- Date Granted: 06/30/1986 (almost 39 years ago)
- Expiry Date: 06/30/1987 (almost 38 years ago)
LOCATIONS
A Address
C/O WASHINGTON CO MEM HOSPITAL, SALEM IN 47167