License holder summary

G RENEE THOMAS CLARK is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for G RENEE THOMAS CLARK is MADISON CENTER, 403 E MADISON, SOUTH BEND IN 46617. This licensed professional license is not current. The license was granted 08/09/1993 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

G RENEE THOMAS CLARK
Controlled Substance Registration-Osteopathic Physician
License number
02001465B
Date granted
08/09/1993
Date expires
06/30/1997
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
MADISON CENTER, 403 E MADISON, SOUTH BEND IN 46617
indianalicensing.org
ID 5813306
LAST UPDATED 2024-03-29 19:56:38 UTC

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