Indiana
Professional Licensing Agency
THOMAS DAVID BREITWEISER
Controlled Substance Registration - Physician
License number
01021113B
Date granted
04/30/1986
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
7714 W TREE FARM ROAD, MADISON IN 47250
indianalicensing.org
ID 5887463
LAST UPDATED 2024-04-11 13:11:51 UTC
LAST UPDATED 2024-04-11 13:11:51 UTC
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