Indiana
Professional Licensing Agency
Mark Alfred Thomas
Controlled Substance Registration - Physician
License number
01053684B
Date granted
06/13/2001
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Community Rural Health Clinic, 1207 East National Avenue, Brazil IN 47834
indianalicensing.org
ID 5827815
LAST UPDATED 2024-04-12 07:27:37 UTC
LAST UPDATED 2024-04-12 07:27:37 UTC
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