William David Moore

Controlled Substance Registration - Physician

Indiana  01043323B   Active

This Indiana license is held by William David Moore. The license is currently active. It was granted on 12/01/1994 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01043323B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 12/01/1994 (over 30 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

Wm. David Moore, MD, 1127 N. Western Avenue, Marion IN 46952