License holder summary

Thomas Albert Stump is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Thomas Albert Stump is 3607 BAY ROAD NORTH DRIVE, INDIANAPOLIS IN 46240. This licensed professional license is not current. The license was granted 01/31/1987 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Thomas Albert Stump
Controlled Substance Registration - Physician
License number
01015282B
Date granted
01/31/1987
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
3607 BAY ROAD NORTH DRIVE, INDIANAPOLIS IN 46240
indianalicensing.org
ID 5870849
LAST UPDATED 2024-04-30 12:01:07 UTC

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