Indiana
Professional Licensing Agency
Thomas Edward Green
Controlled Substance Registration-Osteopathic Physician
License number
02002714B
Date granted
01/16/2004
Date expires
06/30/2009
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
St Margaret Mercy Healthcare Center, 5454 Hohman Avenue, Hammond IN 46320
indianalicensing.org
ID 5802992
LAST UPDATED 2024-04-08 21:22:05 UTC
LAST UPDATED 2024-04-08 21:22:05 UTC
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