Indiana
Professional Licensing Agency
AMBER DION DAREY THOMAS
Controlled Substance Registration - Physician
License number
01051944B
Date granted
02/28/2000
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MEMORIAL FAMILY PRACTICE, 714 N MICHIGAN, SOUTH BEND IN 46601
indianalicensing.org
ID 5920398
LAST UPDATED 2024-04-26 15:10:17 UTC
LAST UPDATED 2024-04-26 15:10:17 UTC
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