Indiana
Professional Licensing Agency
Louis C. Thibodeaux
Controlled Substance Registration - Physician
License number
01049861B
Date granted
11/19/1998
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
EDWARD LONG M D, 24068 PROFESSIONAL PK, LAWRENCEBURG IN 47025
indianalicensing.org
ID 5882699
LAST UPDATED 2024-02-07 21:05:46 UTC
LAST UPDATED 2024-02-07 21:05:46 UTC
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