License holder summary

PHILIP TEN BRINK is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for PHILIP TEN BRINK is UNION HOSPITAL, 1606 NORTH 7TH STREET, TERRE HAUTE IN 47804. This licensed professional license is current. The license was granted 06/30/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

PHILIP TEN BRINK
Controlled Substance Registration - Physician
License number
01031284B
Date granted
06/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
UNION HOSPITAL, 1606 NORTH 7TH STREET, TERRE HAUTE IN 47804
indianalicensing.org
ID 5926248
LAST UPDATED 2024-02-13 07:58:20 UTC

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