Indiana
Professional Licensing Agency
Gage Alan Thoma
Controlled Substance Registration-Physician Assistant
License number
10001690B
Date granted
09/24/2014
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
601 Gateway Blvd. N, Chesterton IN 46304
indianalicensing.org
ID 29179643
LAST UPDATED 2024-04-01 13:59:35 UTC
LAST UPDATED 2024-04-01 13:59:35 UTC
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