License holder summary

THOMAS BROCKIE FRASER III is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for THOMAS BROCKIE FRASER III is 5TH AND PINE, MICHIGAN CITY IN 46360. This licensed professional license is not current. The license was granted 05/23/1996 and expired on 06/30/1999.

Indiana

Professional Licensing Agency

THOMAS BROCKIE FRASER III
Controlled Substance Registration - Physician
License number
01045113B
Date granted
05/23/1996
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
5TH AND PINE, MICHIGAN CITY IN 46360
indianalicensing.org
ID 5893800
LAST UPDATED 2024-05-05 18:14:26 UTC

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