Indiana
Professional Licensing Agency
Thomas Brent Gallen
Physician
License number
01071075A
Date granted
05/09/2012
Date expires
10/31/2015
Class
Physician
Status
Active
Address
Lafayette IN 47905
indianalicensing.org
ID 6069691
LAST UPDATED 2024-03-15 02:45:03 UTC
LAST UPDATED 2024-03-15 02:45:03 UTC
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