License holder summary

THOMAS ERIC SIMONSEN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for THOMAS ERIC SIMONSEN is Thomas Simonsen, 1408 OLD LANTERN TRAIL, FORT WAYNE IN 46845. This licensed professional license is not current. The license was granted 12/08/1981 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

THOMAS ERIC SIMONSEN
Controlled Substance Registration - Physician
License number
01031428B
Date granted
12/08/1981
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Thomas Simonsen, 1408 OLD LANTERN TRAIL, FORT WAYNE IN 46845
indianalicensing.org
ID 5854639
LAST UPDATED 2024-03-26 11:30:20 UTC

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