License holder summary

THOMAS EDWARD DE GRAVE is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for THOMAS EDWARD DE GRAVE is 2201 LINCOLNWAY WEST, SOUTH BEND IN 46628. This licensed professional license is not current. The license was granted 09/19/1989 and expired on 06/30/1993.

Indiana

Professional Licensing Agency

THOMAS EDWARD DE GRAVE
Controlled Substance Registration-Osteopathic Physician
License number
02001092B
Date granted
09/19/1989
Date expires
06/30/1993
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
2201 LINCOLNWAY WEST, SOUTH BEND IN 46628
indianalicensing.org
ID 5813719
LAST UPDATED 2024-04-06 12:36:29 UTC

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