Indiana
Professional Licensing Agency
Jed Clayton Tompkins
Controlled Substance Registration-Osteopathic Physician
License number
02004310B
Date granted
09/13/2013
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Family Medicine Center, 750 Broadway Avenue, Suite 350, Fort Wayne IN 46802
indianalicensing.org
ID 5800512
LAST UPDATED 2024-01-31 16:07:21 UTC
LAST UPDATED 2024-01-31 16:07:21 UTC
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