Delaware
Division of Professional Regulation
Patrice Moore
Controlled Substances - Physician Csr
License number
DR-0007613
Date granted
08/23/2010
Date expires
06/30/2013
Class
Controlled Substances - Physician Csr
Status
Lapsed
Address
Hapeville GA 30354
delawarelicensing.com
ID 20541179
LAST UPDATED 2024-04-02 21:48:09 UTC
LAST UPDATED 2024-04-02 21:48:09 UTC
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