License holder summary

THOMAS ANTALIK is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for THOMAS ANTALIK is 420 W WASHINGTON, MUNCIE IN 47305. This licensed professional license is not current. The license was granted 06/30/1986 and expired on 06/30/1991.

Indiana

Professional Licensing Agency

THOMAS ANTALIK
Controlled Substance Registration - Physician
License number
01028389B
Date granted
06/30/1986
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
420 W WASHINGTON, MUNCIE IN 47305
indianalicensing.org
ID 5899526
LAST UPDATED 2024-04-26 01:28:03 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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