License holder summary

James Thomas Poulos is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for James Thomas Poulos is 1000 Windwood Lane, LAFAYETTE IN 47904. This licensed professional license is current. The license was granted 12/31/1985 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

James Thomas Poulos
Controlled Substance Registration - Physician
License number
01023256B
Date granted
12/31/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1000 Windwood Lane, LAFAYETTE IN 47904
indianalicensing.org
ID 5879687
LAST UPDATED 2024-02-01 03:34:19 UTC

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