Indiana
Professional Licensing Agency
Andrew C. Thieneman, Jr.
Controlled Substance Registration - Physician
License number
01027883B
Date granted
06/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Deaconess Clinic, 421 Chestnut Street, Evansville IN 47713
indianalicensing.org
ID 5849237
LAST UPDATED 2024-03-14 22:49:40 UTC
LAST UPDATED 2024-03-14 22:49:40 UTC
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