Indiana
Professional Licensing Agency
Hartley Michael Thomas
Controlled Substance Registration - Physician
License number
01035284B
Date granted
07/03/1986
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Advanced Cosmetic Dermatology, 225 Aberdeen Drive, Valparaiso IN 46385
indianalicensing.org
ID 5928646
LAST UPDATED 2024-03-24 09:30:48 UTC
LAST UPDATED 2024-03-24 09:30:48 UTC
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