Indiana
Professional Licensing Agency
Thomas F. Myers
Controlled Substance Registration - Physician
License number
01052595B
Date granted
12/10/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Porter Valparaiso Hospital Campus, 814 LaPorte Avenue, Valparaiso IN 46383
indianalicensing.org
ID 5929989
LAST UPDATED 2024-03-09 15:25:44 UTC
LAST UPDATED 2024-03-09 15:25:44 UTC
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