Indiana
Professional Licensing Agency
Chad Thomas Carlson
Controlled Substance Registration - Physician
License number
01046888B
Date granted
06/26/1997
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
CENTRAL INDIANA SPORTS MEDICINE, 100 N TILLOTSON AVENUE, MUNCIE IN 47304
indianalicensing.org
ID 5897774
LAST UPDATED 2024-04-10 20:06:11 UTC
LAST UPDATED 2024-04-10 20:06:11 UTC
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