Indiana
Professional Licensing Agency
Thekkumkattil D. James
Controlled Substance Registration - Physician
License number
01034777B
Date granted
01/06/1987
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2510 East Dupont Road, Suite 200, Fort Wayne IN 46825
indianalicensing.org
ID 5854608
LAST UPDATED 2024-04-11 11:25:53 UTC
LAST UPDATED 2024-04-11 11:25:53 UTC
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