License holder summary

Thomas Paul Dykstra is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Thomas Paul Dykstra is 13413 State Street, Grabill IN 46741. This licensed professional license is current. The license was granted 03/30/1994 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Thomas Paul Dykstra
Controlled Substance Registration - Physician
License number
01038525B
Date granted
03/30/1994
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
13413 State Street, Grabill IN 46741
indianalicensing.org
ID 5859374
LAST UPDATED 2024-03-02 03:13:32 UTC

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