Indiana
Professional Licensing Agency
Denise Kaye Thornberry
Controlled Substance Registration - Physician
License number
01027885B
Date granted
10/31/1984
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
4621 Summersong Road, Zionsville IN 46077
indianalicensing.org
ID 5936714
LAST UPDATED 2024-04-03 01:14:50 UTC
LAST UPDATED 2024-04-03 01:14:50 UTC
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