Indiana
Professional Licensing Agency
Samuel Tanner Thompson
Controlled Substance Registration - Physician
License number
01041048B
Date granted
02/23/1993
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Urology of Indiana, L.L.C., 679 E. County Line Rd., Greenwood IN 46143-1049
indianalicensing.org
ID 5862462
LAST UPDATED 2024-04-13 20:59:45 UTC
LAST UPDATED 2024-04-13 20:59:45 UTC
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