License holder summary

Larry Thomas Micon is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Larry Thomas Micon is 13940 Southeastern Parkway, Suite 202, Fishers IN 46037. This licensed professional license is current. The license was granted 12/31/1985 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Larry Thomas Micon
Controlled Substance Registration - Physician
License number
01031976B
Date granted
12/31/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
13940 Southeastern Parkway, Suite 202, Fishers IN 46037
indianalicensing.org
ID 5851976
LAST UPDATED 2024-03-08 02:06:08 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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