Indiana
Professional Licensing Agency
Larry Gene Thompson
Controlled Substance Registration - Physician
License number
01021585B
Date granted
09/30/1986
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1311 Erskine Manor Hill, South Bend IN 46614
indianalicensing.org
ID 5921527
LAST UPDATED 2024-01-27 21:34:28 UTC
LAST UPDATED 2024-01-27 21:34:28 UTC
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