Indiana
Professional Licensing Agency
Kristina Dianne Thompson
Controlled Substance Registration-Osteopathic Physician
License number
02004077B
Date granted
09/11/2012
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
1348 Ohio Street, Terre Haute IN 47807
indianalicensing.org
ID 5814352
LAST UPDATED 2024-03-15 13:25:02 UTC
LAST UPDATED 2024-03-15 13:25:02 UTC
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