Indiana
Professional Licensing Agency
John Thomas King
Controlled Substance Registration - Physician
License number
01019782B
Date granted
05/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1201 SOUTH MAIN STREET, CROWN POINT IN 46307
indianalicensing.org
ID 5841268
LAST UPDATED 2024-04-05 10:57:58 UTC
LAST UPDATED 2024-04-05 10:57:58 UTC
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