Indiana
Professional Licensing Agency
Richard F. Thompson, Jr.
Controlled Substance Registration - Physician
License number
01035387B
Date granted
09/04/1986
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MEDICAL OFFICE BLDG 2 SUITE 305, 7910 W JEFFERSON BLVD, FORT WAYNE IN 46804
indianalicensing.org
ID 5854285
LAST UPDATED 2024-04-14 21:23:17 UTC
LAST UPDATED 2024-04-14 21:23:17 UTC
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