License holder summary

Thomas Allan Decilles is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Thomas Allan Decilles is Brookville Immediate Care, 11137 US Hwy 52, Brookville IN 47012. This licensed professional license is not current. The license was granted 08/11/1992 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

Thomas Allan Decilles
Controlled Substance Registration - Physician
License number
01039988B
Date granted
08/11/1992
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Brookville Immediate Care, 11137 US Hwy 52, Brookville IN 47012
indianalicensing.org
ID 5828371
LAST UPDATED 2024-03-09 02:30:06 UTC

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