Indiana
Professional Licensing Agency
Thomas J Gibson
Controlled Substance Registration - Physician
License number
01027054B
Date granted
05/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
4000 West Woodway Drive, Muncie IN 47304
indianalicensing.org
ID 5899547
LAST UPDATED 2024-04-29 21:53:26 UTC
LAST UPDATED 2024-04-29 21:53:26 UTC
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