Indiana
Professional Licensing Agency
THOMAS ANTALIK
Controlled Substance Registration - Physician
License number
01028389B
Date granted
06/30/1986
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
420 W WASHINGTON, MUNCIE IN 47305
indianalicensing.org
ID 5899526
LAST UPDATED 2024-04-07 04:27:02 UTC
LAST UPDATED 2024-04-07 04:27:02 UTC
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